Provider Demographics
NPI:1053577577
Name:SYED, SOFIA N (OD)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:N
Last Name:SYED
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:SOFIA
Other - Middle Name:N
Other - Last Name:QUADRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1520 SPRING HILL MALL
Mailing Address - Street 2:
Mailing Address - City:WEST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-1266
Mailing Address - Country:US
Mailing Address - Phone:847-426-3198
Mailing Address - Fax:
Practice Address - Street 1:1520 SPRING HILL MALL
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-1266
Practice Address - Country:US
Practice Address - Phone:847-426-3198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010083152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist