Search › Illinois › 363A00000X
Mohammad Tabatabaei, P.A.-C
NPI 1215954813 · on the registry since 2006
Practice
- Address
- 1220 W Jackson St
Sullivan, IL 61951 - Phone
- (217) 728-2042
- Fax
- (217) 728-2485
- Organisation at this address
- Decatur Memorial Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois