Individual
ANSAR A MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6424 N ARTESIAN AVE, CHICAGO, IL 60645-5356
(773) 852-7866
Mailing address
6424 N ARTESIAN AVE, CHICAGO, IL 60645-5356
(773) 852-7866
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
05/16/2024
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