Individual
DR. ALI MAQSOOD MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
257 N SCHMIDT RD, SUITE B, BOLINGBROOK, IL 60440-1997
(630) 759-9065
(630) 759-9075
Mailing address
257 N SCHMIDT RD, SUITE B, BOLINGBROOK, IL 60440-1997
(630) 759-9065
(630) 759-9075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036085465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085465 3
—
IL
Enumeration date
07/13/2006
Last updated
06/09/2021
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