Provider Demographics
NPI:1447413919
Name:MOHIUDDIN, GHOUSE (DO)
Entity type:Individual
Prefix:
First Name:GHOUSE
Middle Name:
Last Name:MOHIUDDIN
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4901 SEARLE PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-5320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:847-982-3394
Practice Address - Street 1:901 W KIRCHHOFF RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2361
Practice Address - Country:US
Practice Address - Phone:847-982-6710
Practice Address - Fax:847-982-3394
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0361243152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry