Individual
DR. MOHAMMAD INAM HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 W 22ND ST, SUITE 610, OAK BROOK, IL 60523-2006
(630) 537-1720
(630) 537-1724
Mailing address
1301 W 22ND ST, SUITE 610, OAK BROOK, IL 60523-2006
(630) 537-1720
(630) 537-1724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01069989A
IN
207L00000X
Anesthesiology Physician
Primary
036083169
IL
208VP0014X
Interventional Pain Medicine Physician
036083169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083169
—
IL
Enumeration date
05/19/2006
Last updated
10/16/2017
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