Organization
EXCEL KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL MUBEEN MOHAMMED MD (CEO)
(281) 853-4429
Entity
Organization
Contact information
Practice address
3002 N ASHLAND AVE, CHICAGO, IL 60657-3012
(773) 296-3003
(773) 296-3002
Mailing address
PO BOX 68698, SCHAUMBURG, IL 60168-0698
(773) 296-3003
(773) 296-3002
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457733180
—
IL
01
—
7642518
7642518
IL
01
—
HEALTHLINK
C81662
IL
Enumeration date
06/18/2015
Last updated
05/21/2016
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