Provider Demographics
NPI:1770640658
Name:SAEED, MOHAMMED KUSRO (DC)
Entity type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:KUSRO
Last Name:SAEED
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2400 W DEVON AVE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1910
Mailing Address - Country:US
Mailing Address - Phone:773-465-4100
Mailing Address - Fax:773-465-2699
Practice Address - Street 1:2400 W DEVON AVE
Practice Address - Street 2:SUITE 213
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1910
Practice Address - Country:US
Practice Address - Phone:773-465-4100
Practice Address - Fax:773-465-2699
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor