Provider Demographics
NPI:1992781108
Name:ARAIN, MOHAMMED MURTAZA (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:MURTAZA
Last Name:ARAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:730 S WEBER RD
Mailing Address - Street 2:UNIT G
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5472
Mailing Address - Country:US
Mailing Address - Phone:630-759-8700
Mailing Address - Fax:630-759-8701
Practice Address - Street 1:730 S WEBER RD
Practice Address - Street 2:UNIT G
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5472
Practice Address - Country:US
Practice Address - Phone:630-759-8700
Practice Address - Fax:630-759-8701
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-046816174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL22910261OtherRAILROAD MEDICARE
IL036046816Medicaid
IL10572353OtherCAQH
ILQXIPQ0000069212OtherAETNA BETTER HEALTH
ILQXIPQ0000069212OtherAETNA BETTER HEALTH
IL22910261OtherRAILROAD MEDICARE
IL036046816Medicaid