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NPI Code Detail

MEDICARE: MOHAMMED MOHSIN OD

MEDICARE:   MOHAMMED  MOHSIN  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist046.011852IL

General Provider Information

NPI Number : 1356186506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED MOHSIN OD
Provider Business Mailing Address
First Line : 1041 GREENBRIAR DR
Second Line :
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 256 S ROUTE 59 STE 132
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-9108
Country : US
Telephone Number : 630-656-4360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 06/28/2024

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Directions to “ MOHAMMED MOHSIN OD” Practice Location

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