Provider Demographics
NPI:1790102804
Name:MOHAMMED, ABDUL SALMAN (MBBS, MD)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:SALMAN
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3444 CUYLER AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-5436
Mailing Address - Country:US
Mailing Address - Phone:267-328-8907
Mailing Address - Fax:
Practice Address - Street 1:836 W WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5147
Practice Address - Country:US
Practice Address - Phone:773-296-5424
Practice Address - Fax:773-296-5265
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036149245207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology