Individual
MR. NAKIB AHMED MANSURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Mailing address
4426 W LUNT AVE, LINCOLNWOOD, IL 60712-2223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.078364
IL
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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