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Dr. Mohammed Samiruddin, MD
Family Medicine Physician in Villa Park, Illinois
NPI 1144432188

Mohammed Samiruddin is a Family Medicine Physician based in Lombard, IL. Mohammed Samiruddin practices in Villa Park, IL and has the professional credentials of MD. The NPI Number for Mohammed Samiruddin is 1144432188 and holds a License No. 036-122142 (Illinois).

The current practice location address for Mohammed Samiruddin is 622 N Addison Rd, Villa Park, IL and can be reached out via phone at 630-279-9600 and via fax at 630-279-9602.

Location: 622 N Addison Rd, Villa Park, IL, 60148-8897
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144432188
Provider Name
Mohammed Samiruddin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
622 N Addison Rd, Villa Park, IL, 60148-8897
Phone Number
630-279-9600
Fax Number
630-279-9602
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00858156 01 IL RAILROAD MEDICARE
036122142 05 IL
11928895 01 IL CAQH
14D1096717 01 IL CLIA
institution
Provider Business Practice Location Address Details
Address
622 N Addison Rd
City
Villa Park
State
Illinois
Zip
60181-1419
Phone Number
630-279-9600
Fax Number
630-279-9602
person
Provider Business Mailing Address Details
Address
622 N Addison Rd
City
Villa Park
State
Illinois
Zip
60181-1419
Phone Number
630-279-9600
Fax Number
630-279-9602
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-122142 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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