FATIMA T MOHIUDDIN (NPI# 1578674834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578674834 |
| Entity Type | Individual |
| Full Name | FATIMA T MOHIUDDIN |
| Credential | MD |
| Practice Address |
1253 N Alpine Rd Rockford IL 61107 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796969201 |
| Mailing Telephone | 7796967150 |
| Mailing Fax Number | 7796967342 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 036080076 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036080076 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518311448 | Fatima A Mohiuddin | Internal Medicine | 6196 Oxon Hill Rd Ste 520, Oxon Hill, MD 20745-3112 | 2016-04-18 |
| 1245321900 | Fatima M Mohiuddin | Internal Medicine | 9120 W Golf Rd, Niles, IL 60714-5806 | 2006-09-27 |
| Street Address |
1253 N ALPINE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942227905 | Carolyn M Awender | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2006-07-16 |
| 1821433137 | Aleida Rodriguez | Internal Medicine | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2013-05-01 |
| 1366756793 | Jennifer C Lane | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107 | 2010-07-27 |
| 1730404419 | Kelly M Logli | Nurse Practitioner | 1253 N Alpine Rd, Rockford, IL 61107 | 2010-04-06 |
| 1104065598 | Jessica E Muccianti | Physician Assistant | 1253 N Alpine Rd, Rockford, IL 61107 | 2009-02-10 |
| 1861655375 | Sravanthi Nagavalli | Internal Medicine | 1253 N Alpine Rd, Rockford, IL 61107 | 2008-07-03 |
| 1528231354 | Heath A. Hoffman | Podiatrist | 1253 N Alpine Rd, Rockford, IL 61107 | 2008-04-13 |
| 1194903849 | Ann L. Broughton | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2008-02-05 |
| 1144382268 | Swedishamerican Hospital | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107 | 2006-12-14 |
| 1982782728 | Rachael E Dolezal | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586206 | Board of Trustees of The University of Illinois | Allergy & Immunology | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2006-06-14 |
| 1356321244 | Charles Frey Jr. | Allergy & Immunology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-01-18 |
| 1770563660 | Chester J. Mellies | Allergy & Immunology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749813 | Thao T Doan | Allergy & Immunology | 523 Sandy Ln, Libertyville, IL 60048-3553 | 2018-11-17 |
| 1275063695 | Chicago Allergy & Asthma, LLC | Allergy & Immunology | 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 | 2017-06-18 |
| 1982022810 | Kirk Van Shepard II | Allergy & Immunology | 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 | 2014-03-28 |
| 1790102176 | Jennifer Christine Simonaire | Allergy & Immunology | 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 | 2014-03-24 |
| 1558794446 | Sarah M Boudreau-romano | Allergy & Immunology | 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 | 2013-08-14 |
| 1821420209 | Donald Ernest Temple | Allergy & Immunology | 110 E Delaware Pl, Chicago, IL 60611-1481 | 2013-08-07 |
| 1013259647 | Melissa Lee Robinson | Allergy & Immunology | 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 | 2013-03-21 |
| 1871859645 | Sarah Garon | Allergy & Immunology | 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 | 2012-04-06 |
| 1386919421 | Henry J. Dold | Allergy & Immunology | 1300 Kenilworth Av, Glenview, IL 60025-2204 | 2012-03-21 |
| 1386919538 | Diosdado T Lim | Allergy & Immunology | 7520 W. Ute Ln, Palos Heights, IL 60463-2076 | 2012-03-20 |
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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.