MEDICARE: DR. YUSUF ATA MOHYUDDIN M.D., M.P.H.

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	207Q00000X	Family Medicine Physician	036117306	IL

General Provider Information

NPI Number	:	1851516306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUSUF ATA MOHYUDDIN M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1311 D ADRIAN PROFESSIONAL PARK
Second Line	:
City	:	GODFREY
State	:	IL
Zip	:	62035-1686
Country	:	US
Telephone Number	:	618-466-2523
Fax Number	:	618-466-2593

Provider Business Practice Location Address
First Line	:	1311 DADRIAN PROFESSIONAL PARK
Second Line	:
City	:	GODFREY
State	:	IL
Zip	:	62035-1686
Country	:	US
Telephone Number	:	618-466-2523
Fax Number	:	618-466-2593

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	01/22/2014

Similar Medicare Providers

1588617518 — DR. LARRY WAYNE CROCKER D.M.D.
Practice Location Address:

1317 DADRIAN PROFESSIONAL PARK
GODFREY, IL
62035-1686

Practice Phone: 618-466-0733
Practice Fax: 618-466-1433

1780621870 — DR. ANNA R SMITH DMD
Practice Location Address:

1317 DADRIAN PROFESSIONAL PARK
GODFREY, IL
62035-1686

Practice Phone: 618-466-0733
Practice Fax: 618-466-1433

1215034608 — LARRY W. CROCKER DMD, PC
Practice Location Address:

1317 DADRIAN PROFESSIONAL PARK
GODFREY, IL
62035-1686

Practice Phone: 618-466-0733
Practice Fax: 618-466-1433

1003964081 — ANNA R. SMITH DMD, PC
Practice Location Address:

1317 DADRIAN PROFESSIONAL PARK
GODFREY, IL
62035-1686

Practice Phone: 618-466-0733
Practice Fax: 618-466-1433

1730403692 — MOHYUDDIN MEDICAL CENTER LTD
Practice Location Address:

1309 DADRIAN PROFESSIONAL PARK
GODFREY, IL
62035-1686

Practice Phone: 618-466-3232
Practice Fax: 618-466-1950

1629380126 — JENNIFER MARIE ROLAND M.S. CCC-SLP
Practice Location Address:

1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL
62035-1686

Practice Phone: 618-468-8010
Practice Fax: 618-467-7065

Directions to “ DR. YUSUF ATA MOHYUDDIN M.D., M.P.H.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.