Organization
M S HOSPITALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED R SHABBIR MD (PRESIDENT)
(773) 814-2844
Entity
Organization
Contact information
Practice address
2701 W 68TH ST, HOLY CROSS HOSPITAL, CHICAGO, IL 60629-1813
(773) 884-9000
Mailing address
5650 N KILBOURN AVE, CHICAGO, IL 60646-5912
(773) 814-2844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036102808
IL
208000000X
Pediatrics Physician
036102808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102808
—
IL
Enumeration date
01/08/2013
Last updated
01/08/2013
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