Individual
DR. MAMDOUH LATIF ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 S WILKE ROAD, SUITE 110, ARLINGTON HEIGHTS, IL 60005-1524
(847) 398-4536
(847) 398-4712
Mailing address
121 S WILKE ROAD, SUITE 110, ARLINGTON HEIGHTS, IL 60005-1524
(847) 398-4536
(847) 398-4712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036041272
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036041272
—
IL
Enumeration date
11/02/2006
Last updated
12/09/2011
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