Provider Demographics
NPI:1134474109
Name:NAGORI, MOHAMMEDUMER RAHEMATULLAH (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMEDUMER
Middle Name:RAHEMATULLAH
Last Name:NAGORI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 N MOZART ST STE 405
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-2790
Mailing Address - Country:US
Mailing Address - Phone:888-624-1850
Mailing Address - Fax:773-278-1242
Practice Address - Street 1:1044 N MOZART ST STE 405
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2790
Practice Address - Country:US
Practice Address - Phone:888-624-1850
Practice Address - Fax:773-278-1242
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.060877207R00000X
WI63821207RP1001X
OH35.132809207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease