MEDICARE: NUMAIRUDDIN MOHAMMED DO

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	207L00000X	Anesthesiology Physician	OS22987	FL
2	207L00000X	Anesthesiology Physician	036115501	IL
3	207L00000X	Anesthesiology Physician	2709-321	WI
4	208VP0014X	Interventional Pain Medicine Physician	036115501	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	:	1407048093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NUMAIRUDDIN MOHAMMED DO

Provider Business Mailing Address
First Line	:	800 W CENTRAL RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2349
Country	:	US
Telephone Number	:	847-618-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W CENTRAL RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2349
Country	:	US
Telephone Number	:	847-618-1000
Fax Number	:

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

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	06/26/2026

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Directions to “ NUMAIRUDDIN MOHAMMED DO” Practice Location

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