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Individual

MOHAMAD SUGHAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TECHNICAL DIRECTORBA

Contact information

Practice address
4142 167TH ST STE 6, OAK FOREST, IL 60452-3345
(708) 904-2424
Mailing address
18013 ALICE LN, ORLAND PARK, IL 60467-8433
(708) 904-2424

Taxonomy

Speciality
Code
Description
License number
State
246ZB0500X
Biochemist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14D2249312
IL
Enumeration date
01/22/2022
Last updated
01/22/2022
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