Individual
DR. MOHAMED RAFAT AKKAD WATTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 W HARRISON ST, CHICAGO, IL 60612-3825
(312) 942-5471
(312) 942-3434
Mailing address
1750 W HARRISON ST, CHICAGO, IL 60612-3825
(312) 942-5471
(312) 942-3434
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125.080080
IL
Other
Enumeration date
04/05/2022
Last updated
06/03/2022
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