Individual
DR. MAHMOUD MAHAFZAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D
Contact information
Practice address
10604 SOUTHWEST HWY STE 200, CHICAGO RIDGE, IL 60415-2717
(708) 424-9710
(708) 671-9282
Mailing address
62647 COLLECTION CENTER DR, CHICAGO, IL 60693-0626
(708) 599-9385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036091528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091528
—
IL
Enumeration date
07/19/2006
Last updated
07/26/2019
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