Adenwalla, Mohamed

Adenwalla, Mohamed is an individual health care provider with primary practice located at 133 E Brush Hill Rd Ste 300 , Elmhurst IL 60126-5659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Adenwalla, Mohamed can be contacted via phone (630) 571-1501.

Contact Information

Primary practice address
133 E Brush Hill Rd Ste 300 Elmhurst IL 60126-5659
Phone: (630) 571-1501
Fax: (630) 571-5679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 036.110825 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-110825 Illinois

Profile Details

NPI number 1184679524
LBN Legal business name Adenwalla, Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184679524 NPPES
Illinois MEDICAID 036110825
Illinois Other P00366944
Illinois Other 2201714

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