Individual
MOHAMMAD ABTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 N ARLINGTON HEIGHTS RD STE 203, ARLINGTON HEIGHTS, IL 60004-3960
(847) 375-0888
(847) 375-0396
Mailing address
PO BOX 1190, HIGHLAND PARK, IL 60035-7190
(847) 375-8889
(847) 375-0396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036077353
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077353
—
IL
01
—
364194294
TAX ID
—
Enumeration date
07/25/2006
Last updated
01/19/2022
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