Organization
NORTHSIDE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR M MOHIUDDIN M.D. (DIRECTOR)
(847) 390-7083
Entity
Organization
Contact information
Practice address
9120 W GOLF RD, NILES, IL 60714-5806
(847) 390-7083
(847) 390-7115
Mailing address
9120 W GOLF RD, NILES, IL 60714-5806
(847) 390-7083
(847) 390-7115
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/11/2010
Last updated
11/15/2010
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