Individual
MAMOOR SHAHID LATEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE BLDG 107, MAYWOOD, IL 60153-3328
(708) 216-9100
Mailing address
2160 S 1ST AVE BLDG 107, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036167999
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
09/23/2024
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