Individual
MOHAMMED SHABBIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 JORIE BLVD, SUITE 186, OAK BROOK, IL 60523-2213
(630) 954-6700
Mailing address
900 JORIE BLVD, SUITE 186, OAK BROOK, IL 60523-2213
(630) 954-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036102808
IL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
036-102808
IL
208M00000X
Hospitalist Physician
Primary
036102808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-102808
—
IL
01
—
F00286044
FPN MEDICARE PTAN
IL
Enumeration date
06/04/2006
Last updated
04/21/2026
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