Active NPIIndividual provider

Dr. Mohammad Abou El-Ezz, MD

Surgery in Chicago, Illinois

NPI Number1790536746
Practice location
2900 N Lake Shore Dr, Chicago, IL 60657-5640
Fax
773-665-6232
Last updated
June 25, 2026

Dr. Mohammad Abou El-Ezz, MD is a Surgery based in Chicago, IL. Dr. Mohammad Abou El-Ezz, MD holds the professional credentials of MD. The NPI number for Dr. Mohammad Abou El-Ezz, MD is 1790536746 and holds license No. 125.088862 (IL). The current practice location address is 2900 N Lake Shore Dr, Chicago, IL 60657-5640 and the office can be reached by phone at 773-665-6237 and by fax at 773-665-6232. The NPI was assigned on March 28, 2024 and the record was last updated in NPPES on June 25, 2026.

●Provider Profile Details

NPI Number
1790536746
Provider Name
Mohammad Abou El-Ezz
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Enumeration Date
March 28, 2024
Last Update Date
June 25, 2026
Certification Date
June 25, 2026
NPI Status
Active

◉Business Practice Location Address

Address
2900 N Lake Shore Dr
Chicago, IL 60657-5640
ZIP
60657-5640
Country
US
Phone Number
773-665-6237
Fax Number
773-665-6232

Get directions →

✉Business Mailing Address

Address
2900 N Lake Shore Dr
Chicago, IL 60657-5640
City
Chicago
State
IL
ZIP
60657-5640
Phone Number
773-665-6237

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Surgery208600000XYes125.088862IL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Mohammad Abou El-Ezz, MD?

The NPI number of Dr. Mohammad Abou El-Ezz, MD is 1790536746. It was assigned on March 28, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Mohammad Abou El-Ezz, MD?

Dr. Mohammad Abou El-Ezz, MD is registered under the primary taxonomy Surgery (code 208600000X) and holds license No. 125.088862 (IL).

Where does Dr. Mohammad Abou El-Ezz, MD practice?

The practice location is 2900 N Lake Shore Dr, Chicago, IL 60657-5640. The office can be reached at 773-665-6237 (phone) or 773-665-6232 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790536746 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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