Healthcare Provider Details

I. General information

NPI: 1124993514
Provider Name (Legal Business Name): DOOSAM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W GRAND AVE FL 1
BENSENVILLE IL
60106-3364
US

IV. Provider business mailing address

205 W GRAND AVE FL 1
BENSENVILLE IL
60106-3364
US

V. Phone/Fax

Practice location:
  • Phone: 551-344-7630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: FNU MOHAMMED MASOOD
Title or Position: MANAGER
Credential:
Phone: 551-344-7630