SearchIllinois343900000X

Samir Qattum

NPI 1568389385 · on the registry since 2026 · sole proprietor

Practice

Address
5101 Blackwolf Rd
Springfield, IL 62711
Phone
(217) 741-2535

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois