Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 036-077398 | IL |
NPI | 1912997933 |
---|---|
Provider Name | Dr. Naveed Akhtar |
First Address | Oak Brook, IL 60523-1721 |
Second Address | Bolingbrook, IL 60440-1872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 23/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036077398 | (05) | IL |
E36739 | (02) | IL |