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: July 19, 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
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

Other Identifiers 3

Medicare ID-Type Unspecified202593
Other0004132023Blue Cross Blue Shield
Medicare UPINF73716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205976024, enumerated as an "individual" on February 08, 2007.

The provider is located at 1729 OAK PARK DRIVE ROCKFORD, IL 61107 and the phone number is (815) 395-0632.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.