MEDICARE: MOHAMMED M ADIL 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
1	208000000X	Pediatrics Physician	036-095236	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9932210	OTHER	IL	BCBSIL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972565679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED M ADIL MD

Provider Business Mailing Address
First Line	:	800 SHANAHAN CT
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-8219
Country	:	US
Telephone Number	:	815-729-3006
Fax Number	:	866-757-6056

Provider Business Practice Location Address
First Line	:	2226 WEBER RD
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60403-0928
Country	:	US
Telephone Number	:	815-729-3006
Fax Number	:	866-757-6056

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	01/09/2023

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Directions to “ MOHAMMED M ADIL MD” Practice Location

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