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NPI Code Detail

MEDICARE: MOHAMMAD ALAM MD

MEDICARE: MOHAMMAD ALAM 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
1207Q00000XFamily Medicine Physician036-086041IL

General Provider Information

NPI Number : 1366524050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD ALAM MD
Provider Business Mailing Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-465-4600
Fax Number : 773-465-4666
Provider Business Practice Location Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-465-4600
Fax Number : 773-465-4666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 05/11/2022

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Directions to “ MOHAMMAD ALAM MD” Practice Location

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