Individual
DR. MAJID M MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 LUTHER LN, PARK RIDGE, IL 60068-1270
(847) 723-8030
(847) 723-1596
Mailing address
700 COMMERCE DR, SUITE 500, OAK BROOK, IL 60523-1546
(847) 698-0600
(847) 698-0601
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036130491
IL
2085R0001X
Radiation Oncology Physician
D64570
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130491
—
IL
05
—
410857400
—
MD
01
—
558620
MEDICARE PROVIDER NUMBER
IL
01
—
778401
MEDICARE PROVIDER NUMBER
IL
01
—
D64570
PHYSICIAN LICENSE
MD
Enumeration date
05/18/2006
Last updated
12/24/2021
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