Individual ProviderAbdul MohammedInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1901 W Harrison, Chicago, IL 60612(312) 864-6000PECOS EnrollmentBased on the most recent information from CMS, provider Abdul Mohammed does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659820520Provider TypeIndividualFull NameMohammed, AbdulGenderMaleSole ProprietorNoEnumeration Date10/3/2016Last Updated10/3/2016Contact InformationPractice LocationPractice Address1901 W Harrison, Chicago, IL 60612Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address1901 W Harrison St, Chicago, IL 60612-3714Phone(312) 864-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125069525Illinois