Individual
DR. AHMED SALEM MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 S 34TH ST STE 101, MOUNT VERNON, IL 62864-6021
(618) 231-6121
(618) 615-4380
Mailing address
412 S 34TH ST STE 101, MOUNT VERNON, IL 62864-6021
(618) 231-6121
(618) 615-4380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036136254
IL
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136254
—
IL
Enumeration date
02/26/2010
Last updated
12/11/2022
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