Individual
MOHAMAD Y KHALIFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10322 S HARLEM AVE, PALOS HILLS, IL 60465-2036
(708) 576-8881
(708) 529-7078
Mailing address
10322 S HARLEM AVE, PALOS HILLS, IL 60465-2036
(708) 576-8881
(708) 529-7078
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D2134131
IL
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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