NPI 1093569774 · live from the CMS NPI Registry
Siad Mohammed Adam, M.D
Internal Medicine in Mchenry, IL. National Provider Identifier 1093569774, active.
NPI record
| NPI | 1093569774 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 4201 Medical Center Drive, Mchenry, IL 60050 |
| Practice phone | 815-344-5000 |
| Enumerated | April 17, 2024 |
| Last updated | August 1, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine primary | 207R00000X | 125.085005 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.