Mohammed, Mushtaq Hussain
Mohammed, Mushtaq Hussain is an individual health care provider with primary practice located at 1000 Remington Blvd Suite 200, Bolingbrook IL 60440-5114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mohammed, Mushtaq Hussain can be contacted via phone (630) 312-7755.Contact Information
Primary practice address
1000 Remington Blvd Suite 200
Bolingbrook IL 60440-5114
Phone: (630) 312-7755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-114415 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036114415 | Illinois |
Profile Details
| NPI number | 1700828563 |
|---|---|
| LBN Legal business name | Mohammed, Mushtaq Hussain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 6th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700828563 | NPPES |
| Illinois | MEDICAID | 036-114415 |
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