Mobile Doctors,Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036.0117439 Issued in IL

Legal business name

MOBILE DOCTORS,INC

Practice address

131 E 47TH St
Chicago, IL 60653-3806

Phone

(773) 624-0010

Fax

(773) 624-6080

NPI assigned

Dec 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Muhammed Humayoun

Title

Owner

Phone

(219) 678-4000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260662400000",
    "number": "1326377896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533806",
            "telephone_number": "773-624-0010",
            "fax_number": "773-624-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533806",
            "telephone_number": "773-624-0010",
            "fax_number": "773-624-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DOCTORS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-13",
        "last_updated": "2009-12-13",
        "status": "A",
        "authorized_official_last_name": "HUMAYOUN",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-678-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.0117439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Imaging Services,Inc
• Mobile Lab Solution, LLC (Mobile Lab Solution)

• Neurological Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.