OrganizationActive
South Beloit Office
NPI 1679839773 · General Practice Physician · South Beloit, IL
Provider details
- NPI number
- 1679839773
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mubeen Saleem, Biller(224) 616-8645
- License
- 036126253 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1407 Pate Plaza Dr
South Beloit, IL 61080-1431
Phone: (630) 219-2002
Street-level locationGet directions
Mailing address
1407 Pate Plaza Dr
South Beloit, IL 61080-1431
Registry dates
- Enumerated
- 2012-04-03
- Last updated
- 2012-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.