Dr. Anjum Hameeduddin, M.D.
Family Medicine in Matteson, IL. Individual provider (NPI-1).
NPI number1285633461
StatusActive
Last updated in NPPESFeb 20, 2013
Details
- NPI
- 1285633461
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anjum Hameeduddin
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Feb 20, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036051648 | IL | Yes |
Practice location
4647 Lincoln HwyMatteson, IL 60443-2319
Phone 708-747-7720 · Fax 708-915-7239
Mailing address
Po Box 1119Matteson, IL 60443-4119
Phone 708-747-5850 · Fax 708-747-9991
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Matteson, IL
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