DR. MOHAMMED SHUJAUDDIN AHMED (NPI# 1962588061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962588061 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMED SHUJAUDDIN AHMED |
| Credential | D.O. |
| Practice Address |
396 Remington Blvd Ste 140 Bolingbrook IL 60440-4311 |
| Mailing Address |
120 W 22nd St Ste 200 Oak Brook IL 60523-1563 |
| Practice Telephone | 6304959356 |
| Practice Fax Number | 6304959357 |
| Mailing Telephone | 6305755000 |
| Mailing Fax Number | 6304915472 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-113939 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036113939 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036113939 | 05 | |
| IL | MEDICARE GROUP PTAN | 400280 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1568726420 | Mohammed N Ahmed | Specialist | 35 Aberdeen Rd, New Hyde Park, NY 11040-2139 | 2012-06-26 |
| 1467463018 | Mohammed S Ahmed | Obstetrics & Gynecology | 10710 Charter Dr Ste 200, Columbia, MD 21044-3259 | 2006-08-10 |
| 1083638019 | Mohammed Faiz Ahmed | Psychiatry & Neurology | 360 S Clover Ave, San Jose, CA 95128-5118 | 2006-07-26 |
| 1275551871 | Mohammed N. Ahmed | Psychiatry & Neurology | 300 Republic Ave, Joliet, IL 60435-6520 | 2006-07-18 |
| 1740225796 | Mohammed Aqueel Ahmed | Emergency Medicine | 189 Courts Ln, Little Rock, AR 72223-9018 | 2006-06-16 |
| 1427035500 | Mohammed Ismail Ahmed | General Practice | 2803 W Harrison St, Harrison Medical Center, Chicago, IL 60612-3332 | 2005-12-29 |
| 1316937360 | Mohammed Saleem Ahmed | Internal Medicine | 1325 Clark St, Cambridge, OH 43725-9614 | 2005-10-21 |
| 1992702781 | Mohammed I Ahmed | Internal Medicine | 1530 W Andrew Johnson Hwy, Morristown, TN 37814-3733 | 2005-07-07 |
| 1780285676 | Mohammed Nur Ahmed | Pharmacist | 625 Hungerford Dr, Rockville, MD 20850-1721 | 2020-11-05 |
| Street Address |
396 REMINGTON BLVD STE 140 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239569 | Usrc Advanced Home Therapies LLC | Clinic/Center | 396 Remington Blvd Ste 140, Bolingbrook, IL 60440-4311 | 2011-05-06 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164402335 | Huma Q. Rohail | Internal Medicine | 329 Remington Blvd, Suite 105, Bolingbrook, IL 60440-5827 | 2006-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.