Provider Demographics
NPI:1982691259
Name:BOKHARI, SYED SAQIB ABRAR (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:SAQIB ABRAR
Last Name:BOKHARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:678 CEDAR CROSSINGS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-5210
Mailing Address - Country:US
Mailing Address - Phone:815-730-0202
Mailing Address - Fax:815-730-0404
Practice Address - Street 1:678 CEDAR CROSSINGS DR STE 200
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-5210
Practice Address - Country:US
Practice Address - Phone:815-730-0202
Practice Address - Fax:815-730-0404
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036118697208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H22484Medicare UPIN
ILIL2735001Medicare PIN