Dr Mo S.c

NPI #1942697800 in Addison, Illinois

Provider Information

NPI Number: 1942697800
Entity Type: Organization
Organization Name: Dr Mo S.c
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Apr 17, 2015
Last Updated: Apr 17, 2015

Practice Location

Address: 2131 W SILVERLEAF LN
City: Addison
State: Illinois
ZIP Code: 60101-6404
Phone: (847) 341-0389

Authorized Official

Name: DR. GHOUSE MOHIUDDIN, D.O.
Title: PRESIDENT
Phone: (847) 341-0389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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