Razzaque, Mohammad Abdur

Razzaque, Mohammad Abdur is an individual health care provider with primary practice located at 3228 W 95Th St , Evergreen Park IL 60805-2314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Razzaque, Mohammad Abdur can be contacted via phone (708) 425-4800.

Contact Information

Primary practice address
3228 W 95Th St Evergreen Park IL 60805-2314
Phone: (708) 425-4800
Fax: (708) 422-6534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036089799 Illinois

Profile Details

NPI number 1184683849
LBN Legal business name Razzaque, Mohammad Abdur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 21st, 2008 - about 16 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 1184683849 NPPES
Illinois Other 110214505 RAILROAD MEDICARE
Illinois MEDICAID 036089799 RAILROAD MEDICARE
Illinois Other 1622853 RAILROAD MEDICARE

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