Provider Demographics
NPI:1326377896
Name:MOBILE DOCTORS,INC
Entity Type:Organization
Organization Name:MOBILE DOCTORS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMAYOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-678-4000
Mailing Address - Street 1:131 E 47TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-3806
Mailing Address - Country:US
Mailing Address - Phone:773-624-0010
Mailing Address - Fax:773-624-6080
Practice Address - Street 1:131 E 47TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-3806
Practice Address - Country:US
Practice Address - Phone:773-624-0010
Practice Address - Fax:773-624-6080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-13
Last Update Date:2009-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.0117439207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty