MEDICARE: MDOC PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1043613581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MDOC PC

Provider Business Mailing Address
First Line	:	1250 S GROVE AVE
Second Line	:	SUITE 200
City	:	BARRINGTON
State	:	IL
Zip	:	60010-5091
Country	:	US
Telephone Number	:	847-381-5171
Fax Number	:	847-382-1787

Provider Business Practice Location Address
First Line	:	1250 S GROVE AVE
Second Line	:	SUITE 200
City	:	BARRINGTON
State	:	IL
Zip	:	60010-5091
Country	:	US
Telephone Number	:	847-381-5171
Fax Number	:	847-382-1787

Authorized Official
Title or Position	:	OWNER
Name	:	AHTESHAM HYDER
Credential	:
Telephone Number	:	847-381-5171

Provider Enumeration Date	:	09/29/2014
Last Update Date	:	04/16/2026

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Directions to “MDOC PC ” Practice Location

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