Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 209.021090 | IL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 431906 | NY |
NPI | 1336765064 |
---|---|
Provider Name | Mr. Mohammed Nabeel Hameed |
First Address | Elgin, IL 60123-2300 |
Second Address | Elgin, IL 60123-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2020 |
Last Update Date | 01/04/2021 |