Individual
MOHAMMED A MAZHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AO
Contact information
Practice address
330 E ROOSEVELT RD STE 150, LOMBARD, IL 60148-4662
(312) 217-3959
Mailing address
1S225 ARDMORE AVE, VILLA PARK, IL 60181-3759
(312) 217-3959
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
04/26/2022
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