Individual
DR. MOHAMMED KHAIRY ATIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
2160 S 1ST AVE, BUILDING 110, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, BUILDING 110, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
036123429
IL
Other
Enumeration date
08/27/2008
Last updated
03/29/2021
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