Healthcare Provider Details

I. General information

NPI: 1013957604
Provider Name (Legal Business Name): TAHSEEN MOHAMMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 S WILKE RD
ARLINGTON HEIGHTS IL
60005-1533
US

IV. Provider business mailing address

1105 S AHRENS AVE
LOMBARD IL
60148-4005
US

V. Phone/Fax

Practice location:
  • Phone: 847-686-3456
  • Fax: 847-749-0463
Mailing address:
  • Phone: 630-748-9118
  • Fax: 847-749-0463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036105589
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: