Individual
M GHAITH MULKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 SILVER CROSS BLVD STE 350, NEW LENOX, IL 60451-9603
(815) 717-8737
(815) 717-8699
Mailing address
1890 SILVER CROSS BLVD STE 350, NEW LENOX, IL 60451-9603
(815) 717-8737
(815) 717-8699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036113818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113818
—
IL
Enumeration date
07/14/2006
Last updated
04/24/2015
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