Provider Demographics
NPI:1447549688
Name:ALAM, MOHAMMED Y (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:Y
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HARGER RD
Mailing Address - Street 2:SUITE 415
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1805
Mailing Address - Country:US
Mailing Address - Phone:630-928-1000
Mailing Address - Fax:630-928-0020
Practice Address - Street 1:1200 HARGER RD
Practice Address - Street 2:SUITE 415
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1805
Practice Address - Country:US
Practice Address - Phone:630-928-1000
Practice Address - Fax:630-928-0020
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0820132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry