NPIMap

Organization Active NPI

Mobile Doctors, LLC

  • Neurological Surgery Physician
  • Chicago, IL
National Provider Identifier
1922333095
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036.117439 Issued in IL
Legal business name
MOBILE DOCTORS, LLC
Practice address
6326 S Ashland Ave
Chicago, IL 60636-2725
Phone
(773) 424-0112
Fax
(773) 424-0112
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 036.117439 IL Primary

Addresses

Primary practice location

6326 S Ashland Ave
Chicago, IL 60636-2725

Mailing address

6326 S Ashland Ave
Chicago, IL 60636-2725
Phone (773) 424-0112

National Provider Directory

National Provider Directory

Locations

6326 S Ashland Ave
Chicago, IL 60636
Phone (773) 424-0112

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1922333095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362725",
            "telephone_number": "773-424-0112",
            "fax_number": "773-424-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362725",
            "telephone_number": "773-424-0112",
            "fax_number": "773-424-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DOCTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2010-09-14",
        "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": "036.117439",
            "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 Sep 14, 2010; 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.