Individual
ABDUL KHAYYAM MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S WOOD ST, CHICAGO, IL 60612-4325
(331) 300-9864
Mailing address
1121 E WILSON AVE, LOMBARD, IL 60148-3763
(331) 300-9864
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
036168157
IL
Other
Enumeration date
07/15/2020
Last updated
09/25/2024
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