Organization
CENTER FOR MEDICAL & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIMA M MOHIUDDIN M.D. (PRESIDENT)
(847) 390-7122
Entity
Organization
Contact information
Practice address
2828 W DEVON AVE, CHICAGO, IL 60659-1502
(847) 390-7122
(847) 390-7115
Mailing address
9120 W GOLF RD, NILES, IL 60714-5806
(847) 390-7122
(847) 390-7115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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