Individual
MOHAMMAD WS BAIDOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N 9TH ST FL 2, SPRINGFIELD, IL 62702-5310
(217) 545-8000
(217) 545-2303
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036.173832
IL
390200000X
Student in an Organized Health Care Education/Training Program
4351045426
MI
Other
Enumeration date
06/28/2019
Last updated
06/19/2025
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