DR. ALI MAQSOOD MOHIUDDIN (NPI# 1154346609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154346609 |
| Entity Type | Individual |
| Full Name | DR. ALI MAQSOOD MOHIUDDIN |
| Credential | M.D. |
| Practice Address |
257 N Schmidt Rd Suite B Bolingbrook IL 60440-1997 |
| Practice Telephone | 6307599065 |
| Practice Fax Number | 6307599075 |
| Mailing Telephone | 6307599065 |
| Mailing Fax Number | 6307599075 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036085465 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085465 3 | 05 |
| Street Address |
257 N SCHMIDT RD SUITE B |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396176780 | Physicians At Your Door Inc. | Family Medicine | 218 Eagle Ct, Unit#d, Bolingbrook, IL 60440-5732 | 2013-12-10 |
| 1528387099 | Maria Nida V. Barino Md Ltd | Family Medicine | 406 W Boughton Rd Ste C, Bolingbrook, IL 60440-3721 | 2010-05-24 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1053462788 | Brian J. Lenahan | Family Medicine | 145 N Weber Rd, Bolingbrook, IL 60490-1504 | 2007-01-16 |
| 1740352491 | Munira Mamendra Patel | Family Medicine | 181 Fernwood Dr, Bolingbrook, IL 60440-4525 | 2006-11-15 |
| 1225126808 | Srinivas Rao Surabhi | Family Medicine | 686 W Boughton Rd, Bolingbrook, IL 60440-1520 | 2006-10-10 |
| 1205946498 | June Lowe Roberts | Family Medicine | 406 W Boughton Rd Ste A, Bolingbrook, IL 60440-3721 | 2006-08-30 |
| 1497775233 | Varsha Sambare | Family Medicine | 485 S Weber Rd, Bolingbrook, IL 60490-5504 | 2006-07-21 |
| 1255363305 | Maria Barino | Family Medicine | 685 W Boughton Rd, Bolingbrook, IL 60440-1752 | 2006-07-07 |
| 1639114572 | Adventist Health Partners, Inc | Family Medicine | 440 Quadrangle Dr, Bolingbrook, IL 60440-3454 | 2006-06-17 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on DR. ALI MAQSOOD MOHIUDDIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.