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MOHAMMED KHALEELUDDIN MD
NPI 1205976024
Family Medicine in Rockford, IL

Active since February 08, 2007
1729 OAK PARK DRIVE, ROCKFORD, IL 61107(815) 395-0632(815) 395-0632 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mohammed Khaleeluddin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMED KHALEELUDDIN MD (NPI 1205976024) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036087482) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1205976024
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMOHAMMED KHALEELUDDINCredential: MD
Location Address1729 OAK PARK DRIVERockford, IL 61107-5510
Mailing Address1729 Oak Park DriveRockford, IL 61107-5510 · (815) 395-0632 · Fax (815) 395-0632
Phone(815) 395-0632
Fax(815) 395-0632
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205976024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036087482
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1729 OAK PARK DRIVE, Rockford, IL 61107
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Other Identifiers 3

Medicare ID-Type Unspecified202593
Other0004132023Blue Cross Blue Shield
Medicare UPINF73716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammed Khaleeluddin's NPI number?

The NPI number for Mohammed Khaleeluddin is 1205976024. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Mohammed Khaleeluddin located?

Mohammed Khaleeluddin practices at 1729 Oak Park Drive, Rockford, IL 61107. The listed phone number is (815) 395-0632.

What is Mohammed Khaleeluddin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mohammed Khaleeluddin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.