# NORTHSIDE HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386945012
- **Authorized official:** ANWAR M MOHIUDDIN M.D. (DIRECTOR)
- **Authorized official phone:** (847) 390-7083

## Contact information

- **Practice address:** 9120 W GOLF RD, NILES, IL 60714-5806
- **Practice address phone:** (847) 390-7083
- **Practice address fax:** (847) 390-7115
- **Mailing address:** 9120 W GOLF RD, NILES, IL 60714-5806
- **Mailing address phone:** (847) 390-7083
- **Mailing address fax:** (847) 390-7115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 11/11/2010
- **Last updated:** 11/15/2010