Provider Demographics
NPI:1184880031
Name:ALZOUBAIDI, MOHAMMED SAMI SALEH (MBBS,MPH)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:SAMI SALEH
Last Name:ALZOUBAIDI
Suffix:
Gender:M
Credentials:MBBS,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1658
Mailing Address - Country:US
Mailing Address - Phone:847-535-7647
Mailing Address - Fax:847-535-7260
Practice Address - Street 1:1000 N WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1658
Practice Address - Country:US
Practice Address - Phone:847-535-7647
Practice Address - Fax:847-535-7260
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036161568207RP1001X
AZ45155207R00000X, 207RC0200X, 207RP1001X
IL125066147207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine