Mohammed Abdul Hadi, MD SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036089215 Issued in IL

Legal business name

MOHAMMED ABDUL HADI, MD SC

Practice address

1645 S Green Meadows Blvd Ste 101
Streamwood, IL 60107-1964

Phone

(630) 483-0200

Fax

(630) 483-0215

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Abdul Hadi, M.D.NPI 1427111764

Title

President

Phone

(630) 483-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Abdul Hadi, M.D.

  • Internal Medicine Physician
  • Streamwood, IL
  • NPI 1427111764
  Medicare reassignment NPD Authorized official
• Sakeenah G Latifi, PA-C

  • Physician Assistant
  • Bloomingdale, IL
  • NPI 1558950600
  NPD

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1932373230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S GREEN MEADOWS BLVD STE 101",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071964",
            "telephone_number": "630-483-0200",
            "fax_number": "630-483-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S GREEN MEADOWS BLVD STE 101",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071964",
            "telephone_number": "630-483-0200",
            "fax_number": "630-483-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED ABDUL HADI, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "HADI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-483-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036089215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089215",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Office LTD
• Gita Mehra-Sabherwal
• Merit Center for Sleep Health of Streamwood LLC
• Ashley Miller
• Christine I Miller, LCSW
• Maria Rheena Buenaventura Montes, PT
• Tangee Ximena Moscoso, APN
• Samer Mosoof
• Charie Motley, PSY.D.
• Jeanette Marie Mucci, PTA

• Clinic/Center in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.