Individual
DR. FAYEZA MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24600 W 127TH ST STE B100, PLAINFIELD, IL 60585
(815) 731-9000
(815) 731-9001
Mailing address
24600 W 127TH ST STE B100, PLAINFIELD, IL 60585-9511
(815) 731-9000
(815) 731-9001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-144214
IL
Other
Enumeration date
04/23/2015
Last updated
03/15/2021
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