Mohammed Ali Baig
Individual provider Active NPI Pharmacist · Midlothian, IL
NPI 1669943445 · NPPES record last updated Dec 5, 2018
Key facts
- NPI
- 1669943445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051301799 (IL)
- Practice address
- 4800 148TH St
Midlothian, IL 60445-3117 - Phone
- (708) 687-1604
- NPI assigned
- Dec 5, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051301799 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051301799 | IL | Yes |
Addresses
Primary practice location
4800 148TH St
Midlothian, IL 60445-3117
Mailing address
7310 Tiffany Dr Apt 2B
Orland Park, IL 60462-3589
Phone (708) 262-2547
Other providers in Midlothian, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.