Provider Demographics
NPI:1750515367
Name:AKBAR, SAMREEN (MD)
Entity type:Individual
Prefix:DR
First Name:SAMREEN
Middle Name:
Last Name:AKBAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMREEN
Other - Middle Name:
Other - Last Name:GOHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2500 W HIGGINS RD
Mailing Address - Street 2:SUITE 920
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2048
Mailing Address - Country:US
Mailing Address - Phone:847-466-7260
Mailing Address - Fax:847-466-7747
Practice Address - Street 1:2500 W HIGGINS RD
Practice Address - Street 2:SUITE 920
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2048
Practice Address - Country:US
Practice Address - Phone:847-466-7260
Practice Address - Fax:847-466-7747
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.119607207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1113014432001OtherMEDICARE CONTROL NUMBER
IL1750515367OtherNPI, SAMREEN AKBAR, MD.
IL8008696546016901Medicaid
IL036.119607OtherPHYSICIAN & SURGEON LIC. # (IDFPR)
ILIL8431OtherGROUP PTAN
IL1639414113OtherNPI UPTODATE HEALTHCARE FOR WOMEN, INC.
IL532110001OtherMEDICARE ID, SAMREEN AKBAR, MD.
ILIL8431001OtherPTAN PROVIDER TRANSACTION ACCESS NUMBER