Provider Demographics
NPI:1346546496
Name:NAVABI, MOHAMMAD A (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:A
Last Name:NAVABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 BRAEBURN RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60010
Mailing Address - Country:US
Mailing Address - Phone:847-658-7383
Mailing Address - Fax:
Practice Address - Street 1:3525 W. PETERSON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659
Practice Address - Country:US
Practice Address - Phone:773-293-6671
Practice Address - Fax:773-961-8102
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036042826208D00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology