Organization Active NPI

Mohammed Iqbal MD SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1346428075
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036089057 Issued in IL
Legal business name
MOHAMMED IQBAL MD SC
Practice address
2054 W Devon Ave
Chicago, IL 60659-2128
Phone
(773) 973-2400
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mohammed Iqbal, M.D
Title
President
Phone
(773) 973-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036089057 IL Primary

Addresses

Primary practice location

2054 W Devon Ave
Chicago, IL 60659-2128

Mailing address

2054 W Devon Ave
Chicago, IL 60659-2128

National Provider Directory

National Provider Directory

Locations

2054 W Devon Ave
Chicago, IL 60659
Phone (773) 465-8901

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1346428075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592128",
            "telephone_number": "773-973-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED IQBAL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-973-2400",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.