MEDICARE: DR. SAJID MEHMOOD MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	4301095807	MI
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2005000579	MO
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	46429-020	WI
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036-107055	IL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1467444950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAJID MEHMOOD MD

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 N AIRLITE ST
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-4912
Country	:	US
Telephone Number	:	847-931-5528
Fax Number	:

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	05/30/2025

77 N AIRLITE STREET , PROVENA ST JOSEPH HOSPITAL
ELGIN, IL
60123-4912

Practice Phone: 847-695-3200
Practice Fax: 947-622-3470