Healthcare Provider Details

I. General information

NPI: 1962347963
Provider Name (Legal Business Name): MOHAMMED NADEEM SALFI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MOHD NADEEM SALFI MBBS

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 09/23/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S HANNEPIN AVENUE TOWN SQUARE FAMILY HEALTH CENTRE
DIXON IL
61021
US

IV. Provider business mailing address

1227 STONEYCREEK WAY
ROCKFORD IL
61108
US

V. Phone/Fax

Practice location:
  • Phone: 815-285-8520
  • Fax: 815-285-8903
Mailing address:
  • Phone: 815-208-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125.088873
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: