Provider Demographics
NPI:1720852213
Name:HAQUE, SYED RAHEEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:RAHEEL
Last Name:HAQUE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1S230 CANTIGNY DR
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1711
Mailing Address - Country:US
Mailing Address - Phone:412-722-8093
Mailing Address - Fax:
Practice Address - Street 1:2 E 22ND ST STE 307
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6106
Practice Address - Country:US
Practice Address - Phone:630-344-9369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor