SearchIllinois1223P0700X

Sidharth Mohan, MSD, BDS, BS

NPI 1558830794 · on the registry since 2018

Practice

Address
964 Brookforest Ave
Shorewood, IL 60404
Phone
(815) 254-1177

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Also registered as
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-06

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