Individual
MUBEEN KHAN MOHAMMED ABDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125059037
IL
207RT0003X
Transplant Hepatology Physician
Primary
64252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046440
—
WI
Enumeration date
09/29/2011
Last updated
07/22/2024
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