MOHAMMED I MEMON (NPI# 1164577102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164577102 |
| Entity Type | Individual |
| Full Name | MOHAMMED I MEMON |
| Credential | M.D. |
| Practice Address |
12525 Regency Pkwy Ste. F Huntley IL 60142-6500 |
| Mailing Address |
12525 Regency Pkwy Suite F Huntley IL 60142-6500 |
| Practice Telephone | 8476598283 |
| Practice Fax Number | 8476598345 |
| Mailing Telephone | 8476598283 |
| Mailing Fax Number | 8476598345 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036107021 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036107021 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1005 Broadway St, Quincy, IL 623012834 | 2172238400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609826668 | Mohammed A Memon | Family Medicine | 415 Silas Deane Hwy, Suite #210, Wethersfield, CT 06109-2124 | 2006-05-11 |
| 1922519149 | Mohammed Memon | Physician Assistant | 908 N Elm St Ste 301, Hinsdale, IL 60521-3625 | 2017-10-15 |
| 1316918204 | Mohammed Amin Memon | Psychiatry & Neurology | 2700 E Phillips Rd, Greer, SC 29650-4815 | 2006-01-30 |
| Street Address |
12525 REGENCY PKWY STE. F |
| City | HUNTLEY |
| State | IL |
| Zip Code | 60142-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568579571 | Ramon A Gonzalez | Family Medicine | 12525 Regency Pkwy, Suite F, Huntley, IL 60142-6500 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1881201895 | Activefit Physical Therapy and Personal Training | Physical Therapist | 12172 S. Route 47, #125, Huntley, IL 60142 | 2020-09-24 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1427689744 | Gilberts Evolve LLC | Chiropractor | 9738 Illinois Hwy 47, Huntley, IL 60142 | 2020-01-27 |
| 1790332898 | Mary Casper | Technician | 12829 Mesa St, Huntley, IL 60142 | 2019-08-22 |
| 1437719838 | Faith A Furst | Student in an Organized Health Care Education/Training Program | 12300 Il-47, Huntley, IL 60142 | 2019-06-18 |
| 1578046934 | Shelby Osterberg | Physical Therapist | 12112 S Rt 47, Huntley, IL 60142 | 2018-09-12 |
| 1801378229 | Emilyn Pollack | Nurse Practitioner | 9850 Grimley, Huntley, IL 60142 | 2018-09-01 |
| 1215452537 | Jennifer Amanda Baudin | Occupational Therapy Assistant | 10580 Oakland Ct, Huntley, IL 60142 | 2017-08-08 |
| 1902336555 | Tyler J Wylde | Dentist | 12222 Il-47, Huntley, IL 60142 | 2017-06-15 |
| Find all providers in zip 60142 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487982229 | Fox Valley Hematology Inc | Internal Medicine | 10350 Haligus Rd, Ste 210, Huntley, IL 60142-9545 | 2009-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
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| 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.