Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Imad Qayyum, MD

Individual provider Surgery Physician · NPI 1760776173

Dr. Imad Qayyum, MD is a Colorectal Surgery (Proctology) in Palos Heights, Illinois. Qualified in 2011, 15 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12255 S 80th Ave
Palos Heights, IL 60463-1270
Phone: (708) 923-4400
Fax: (708) 923-4421
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 036.143807 (IL)
Surgery Physician Taxonomy 208600000X · Licence 036.143807 (IL)

Record details

NPI number1760776173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2011
Last updated in NPPESJanuary 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Palos Heights