Individual
DR. BRETT MICHAEL MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 W HARRISON ST, JELKE, SUITE 570, CHICAGO, IL 60612-3825
(312) 942-5260
Mailing address
1750 W HARRISON ST, JELKE, SUITE 570, CHICAGO, IL 60612-3825
(312) 942-5260
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.120861
IL
Other
Enumeration date
08/06/2008
Last updated
01/18/2011
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