MEDICARE: MOHAMMED HAMEEDUDDIN M.D.

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
1	208000000X	Pediatrics Physician	036079541	IL
2	208M00000X	Hospitalist Physician	01098685A	IN
3	208000000X	Pediatrics Physician	01098685A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396721940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED HAMEEDUDDIN M.D.

Provider Business Mailing Address
First Line	:	2300 N CHILDRENS PLZ
Second Line	:	BOX 152
City	:	CHICAGO
State	:	IL
Zip	:	60614-3363
Country	:	US
Telephone Number	:	773-880-6903
Fax Number	:	773-880-3068

Provider Business Practice Location Address
First Line	:	2300 N CHILDRENS PLZ
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-3363
Country	:	US
Telephone Number	:	773-880-6903
Fax Number	:	773-880-3068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	03/26/2026

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