Provider Demographics
NPI:1952357436
Name:ALAWAD, MOHAMMED A (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:A
Last Name:ALAWAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9830 SOUTH RIDGELAND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2667
Mailing Address - Country:US
Mailing Address - Phone:708-425-0414
Mailing Address - Fax:708-425-0229
Practice Address - Street 1:9830 SOUTH RIDGELAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-2667
Practice Address - Country:US
Practice Address - Phone:708-425-0414
Practice Address - Fax:708-425-0229
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1605130OtherBCBS
IL997110Medicare ID - Type Unspecified
IL1605130OtherBCBS