Individual
MARK HAZEM SAHLOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 852-1524
(219) 933-2288
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075458A
IN
207R00000X
Internal Medicine Physician
036124446
IL
207R00000X
Internal Medicine Physician
MD152202
OR
208M00000X
Hospitalist Physician
01075458A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201292580
—
IN
Enumeration date
08/21/2010
Last updated
03/18/2026
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