| Mohammed Abdul Hadi, Md Sc | |
|
1645 S Green Meadows Blvd Ste 101 Streamwood IL 60107-1964 | |
| (630) 483-0200 | |
| (630) 483-0215 |
| Full Name | Mohammed Abdul Hadi, Md Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1645 S Green Meadows Blvd Ste 101, Streamwood, Illinois |
| Authorized Official Name and Position | Mohammed Abdul Hadi (PRESIDENT) |
| Authorized Official Contact | 6304830200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Abdul Hadi, Md Sc 1645 S Green Meadows Blvd Ste 101 Streamwood IL 60107-1964 Ph: (630) 483-0200 | Mohammed Abdul Hadi, Md Sc 1645 S Green Meadows Blvd Ste 101 Streamwood IL 60107-1964 Ph: (630) 483-0200 |
| NPI Number | 1932373230 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 8729112958 |
|---|---|
| Medicare Enrollment ID | O20100810000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932373230 | NPI | - | NPPES |
| 036089215 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036089215 (Illinois) | Primary |
| Provider Name | Mohammed Abdul Hadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427111764 PECOS PAC ID: 5698809820 Enrollment ID: I20100810000693 |
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