Individual
DR. MOHAMMED HASEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4204 WILLIAMSON PL, MOUNT VERNON, IL 62864-6705
(618) 244-2525
(618) 244-3666
Mailing address
PO BOX 789, 4204 WILLIAMSON PLACE, MOUNT VERNON, IL 62864-0016
(618) 244-2525
(618) 244-3666
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036084325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084325
—
IL
Enumeration date
12/06/2006
Last updated
07/08/2007
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