Individual
DR. MAAZ SYED MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2228 WEBER RD, CREST HILL, IL 60403
(815) 729-9900
Mailing address
2228 WEBER RD, CREST HILL, IL 60403-0928
(815) 729-9900
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
336094071
IL
208000000X
Pediatrics Physician
50071
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71780521
—
CO
Enumeration date
04/10/2008
Last updated
08/05/2022
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