Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 036099490 | IL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 036099490 | IL |
NPI | 1033270996 |
---|---|
Provider Name | Khalid A Sami |
First Address | Schaumburg, IL 60173-4832 |
Second Address | Schaumburg, IL 60173-4832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 23/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I69450 | (02) |