MEDICARE: MOUHAMAD HAITHAM BAKIR MD

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	207RP1001X	Pulmonary Disease Physician	036086367	IL
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	036-086367	IL

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	:	1154319994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOUHAMAD HAITHAM BAKIR MD

Provider Business Mailing Address
First Line	:	PO BOX 19639
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9639
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:	217-545-2101

Provider Business Practice Location Address
First Line	:	751 N RUTLEDGE ST STE 1700
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62702-4968
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:	217-545-3782

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	10/23/2023

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Directions to “ MOUHAMAD HAITHAM BAKIR MD” Practice Location

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