Individual
MOHAMMED SYED FASEEHUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2100 GLENWOOD AVE FL 2, JOLIET, IL 60435-5487
(630) 268-0200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-136632
IL
207R00000X
Internal Medicine Physician
64198-21
WI
207RR0500X
Rheumatology Physician
Primary
036136632
IL
Other
Enumeration date
07/12/2012
Last updated
08/07/2023
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