Moinuddin, Tahseen M

Moinuddin, Tahseen M is an individual health care provider with primary practice located at 209 E Army Trail Rd , Glendale Heights IL 60139-1758. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moinuddin, Tahseen M can be contacted via phone (630) 671-0555.

Contact Information

Primary practice address
209 E Army Trail Rd Glendale Heights IL 60139-1758
Phone: (630) 671-0555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009462 Illinois

Profile Details

NPI number 1710916242
LBN Legal business name Moinuddin, Tahseen M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1710916242 NPPES
Illinois MEDICAID 038009462

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