Basic Information
Provider Information
NPI: 1568452712
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALASADI
FirstName: RAMEEZ
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1860 PAYSPHERE CIR
Address2:  
City: CHICAGO
State: IL
PostalCode: 606740001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 100 SPALDING DR
Address2: STE 208
City: NAPERVILLE
State: IL
PostalCode: 605406550
CountryCode: US
TelephoneNumber: 6307172600
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/27/2005
LastUpdateDate: 02/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X036095627ILY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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