| Doctor Name: | DR. AHMED A. MOHIUDDIN |
| NPI Number: | 1124002621 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2228 Weber Rd Crest Hill, IL - 604350928 |
| Business Phone Number: | 8157299900 |
| Business Fax Number: | 8157299913 |
| Mailing Address: | 2228 Weber Rd, CREST HILL |
| State: | IL |
| Postal Code: | 604350928 |
| Phone Number: | 8157299900 |
| Fax Number: | 8157299913 |
| NPI Enumeration Date: | 11/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |