IndividualActive
Imad Qayyum, M.D.
NPI 1760776173 · Colon & Rectal Surgery Physician · Palos Heights, IL
Provider details
- NPI number
- 1760776173
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036.143807 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
12255 S 80th Ave
Palos Heights, IL 60463-1270
Phone: (708) 923-4400
Fax: (708) 923-4421
Approximate (ZIP-level) locationGet directions
Mailing address
12251 S 80th Ave Ste 1630
Palos Heights, IL 60463-1256
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2019-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.