Individual
DR. MOHAMMED HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 N HARLEM AVE, CHICAGO, IL 60634-2219
(773) 589-1008
(773) 658-2005
Mailing address
3401 W DEVON AVE, PO BOX 59436, CHICAGO, IL 60659-1303
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036069756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069756
—
IL
Enumeration date
12/07/2006
Last updated
07/08/2007
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