Individual
DR. MOHAMMAD ABDELHAFEZ ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 RIVERSIDE DR, BOURBONNAIS, IL 60914-4607
(815) 802-7090
(815) 802-7091
Mailing address
100 RIVERSIDE DR, BOURBONNAIS, IL 60914-4607
(815) 802-7090
(815) 802-7091
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036148856
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036148856
IL
208VP0000X
Pain Medicine Physician
036148856
IL
Other
Enumeration date
04/22/2014
Last updated
01/23/2025
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