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NPI Code Detail

MEDICARE: AYEZA MOHSIN D.O.

MEDICARE: AYEZA MOHSIN D.O.
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
1208M00000XHospitalist Physician036138645IL
2207R00000XInternal Medicine Physician036.138645IL

General Provider Information

NPI Number : 1619235264
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYEZA MOHSIN D.O.
Provider Business Mailing Address
First Line : 2357 SEQUOIA DR
Second Line :
City : AURORA
State : IL
Zip : 60506-6222
Country : US
Telephone Number : 630-859-6800
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1404
Country : US
Telephone Number : 630-699-8306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 12/01/2025

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