Individual
DR. THANZEELA KAUSAR MOHIDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10215 BROADWAY, CROWN POINT, IN 46307-8001
(219) 661-6100
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.064632
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01080587A
IN
Other
Enumeration date
03/25/2014
Last updated
09/04/2019
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