Individual provider · Type 1 NPI

Wiam Mohamed Ali Mohamed, MD

Student in an Organized Health Care Education/Training Program · Evanston, IL

NPI number 1578267753 Active

Practice location

355 Ridge Ave
Evanston, IL 60202-3328

Call (874) 316-6228 Map

Mailing address

8810 Westlake Dr
Greendale, WI 53129-1078

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578267753

Wiam Mohamed Ali Mohamed, MD's National Provider Identifier is 1578267753, issued on Mar 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evanston, IL. The record was last updated on Mar 30, 2023.