| Ahmed A. Mohiuddin, M.d. | |
|
2913 N Commonwealth Ave Fl 5 Chicago IL 60657-6211 | |
| (815) 729-9900 | |
| (815) 729-9913 |
| Full Name | Ahmed A. Mohiuddin, M.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2913 N Commonwealth Ave Fl 5, Chicago, Illinois |
| Authorized Official Name and Position | Maaz Mohiuddin (PRESIDENT) |
| Authorized Official Contact | 8157299900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed A. Mohiuddin, M.d. 2228 Weber Rd Crest Hill IL 60435-0928 Ph: (815) 729-9900 | Ahmed A. Mohiuddin, M.d. 2913 N Commonwealth Ave Fl 5 Chicago IL 60657-6211 Ph: (815) 729-9900 |
| NPI Number | 1730228610 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/05/2022 |
| Medicare PECOS PAC ID | 7113929423 |
|---|---|
| Medicare Enrollment ID | O20070215000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730228610 | NPI | - | NPPES |
| 036066748 | Medicaid | IL | |
| 794184 | Other | IL | FIRST HEALTH |
| 31603308 | Other | IL | BLUE CROSS |
| 788313 | Other | IL | UNITED HEALTH CARE |
| 4047673 | Other | IL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036-066748 (Illinois) | Primary |
| Provider Name | Renee R Lantner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750470639 PECOS PAC ID: 0749235521 Enrollment ID: I20050317000288 |
| Provider Name | Maaz S Mohiuddin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1720251697 PECOS PAC ID: 1052577327 Enrollment ID: I20140404001906 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992235865 PECOS PAC ID: 6305103375 Enrollment ID: I20230628002522 |
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