| Fatima T Mohiuddin, MD | |
|
1253 N Alpine Rd, Rockford, IL 61107 | |
| (779) 696-9201 | |
| Not Available |
| Full Name | Fatima T Mohiuddin |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 43 Years |
| Location | 1253 N Alpine Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578674834 | NPI | - | NPPES |
| 036080076 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 036080076 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish American Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedishamerican Hospital | 5799698346 | 332 |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Fatima T Mohiuddin, MD Po Box 78866, Milwaukee, WI 53278-8866 Ph: (779) 696-7150 | Fatima T Mohiuddin, MD 1253 N Alpine Rd, Rockford, IL 61107 Ph: (779) 696-9201 |
Charles Frey Jr., DO Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277 Fax: 815-484-7001 | |
Marisha L. Cook, M. D Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2300 N Rockton Ave, Allergy Dept, Rockford, IL 61103 Phone: 815-971-2000 Fax: 815-971-2585 | |
Chester J. Mellies, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277 Fax: 815-484-7001 |