Individual
DR. MOHAMED KASEER GHUMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 FLETCHER DRIVE, SUITE 204, ELGIN, IL 60123-4736
(847) 931-4626
(847) 931-4794
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-386778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004923104
BLUE SHIELD
IL
05
—
036086778
—
IL
01
—
P00098316
RAILROAD MEDICARE
IL
Enumeration date
07/14/2006
Last updated
08/08/2023
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