Individual
MOHAMMED ABDUL MANNAN ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7350 W COLLEGE DR STE 103, PALOS HEIGHTS, IL 60463-1187
(708) 694-9876
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010291
IL
Other
Enumeration date
02/08/2024
Last updated
02/19/2026
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