Mohiuddin, Syed M

Mohiuddin, Syed M is an individual health care provider with primary practice located at 695 N Perryville Rd Suite 4, Rockford IL 61107-6225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mohiuddin, Syed M can be contacted via phone (815) 227-9900.

Contact Information

Primary practice address
695 N Perryville Rd Suite 4 Rockford IL 61107-6225
Phone: (815) 227-9900
Fax: (815) 227-9805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036055808 Illinois

Profile Details

NPI number 1144216243
LBN Legal business name Mohiuddin, Syed M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 31st, 2009 - about 15 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 1144216243 NPPES
Illinois Other 553180 MEDICARE GROUP PTAN

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