Provider Demographics
NPI:1861091571
Name:MASHHOOD, SAMEENA N (OD)
Entity type:Individual
Prefix:DR
First Name:SAMEENA
Middle Name:N
Last Name:MASHHOOD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9029 COLUMBUS LN APT 2G
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5070
Mailing Address - Country:US
Mailing Address - Phone:773-790-7575
Mailing Address - Fax:
Practice Address - Street 1:520 E GOLF RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4442
Practice Address - Country:US
Practice Address - Phone:847-781-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.011480152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist