Provider Demographics
NPI:1285974501
Name:AMERICAN MOBILE PHYSICIANS INC
Entity type:Organization
Organization Name:AMERICAN MOBILE PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAZDAR KHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-730-7860
Mailing Address - Street 1:6124 N MILWAUKEE AVE
Mailing Address - Street 2:10
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-3830
Mailing Address - Country:US
Mailing Address - Phone:773-774-8100
Mailing Address - Fax:773-774-8101
Practice Address - Street 1:6124 N MILWAUKEE AVE
Practice Address - Street 2:10
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-3830
Practice Address - Country:US
Practice Address - Phone:773-774-8100
Practice Address - Fax:773-774-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-23
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty