Provider Demographics
NPI:1952794513
Name:HALEEM, MERAAJ SYED (BA)
Entity type:Individual
Prefix:MR
First Name:MERAAJ
Middle Name:SYED
Last Name:HALEEM
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 N STATE ST
Mailing Address - Street 2:APARTMENT 20K
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-8665
Mailing Address - Country:US
Mailing Address - Phone:630-991-8885
Mailing Address - Fax:
Practice Address - Street 1:850 N STATE ST
Practice Address - Street 2:APARTMENT 20K
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-8665
Practice Address - Country:US
Practice Address - Phone:630-991-8885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program