Individual
NASIRUDDIN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5350
(630) 352-5349
Mailing address
700 COMMERCE DR, SUITE 500, OAK BROOK, IL 60523-1546
(847) 698-0600
(847) 698-0601
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036-127191
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127191
—
IL
01
—
558620
MEDICARE PROVIDER NUMBER
IL
01
—
778401
MEDICARE PROVIDER NUMBER
IL
Enumeration date
05/10/2007
Last updated
01/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us