Individual
DR. MOHAMED M ZAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10604 SOUTHWEST HIGHWAY, SUITE 107, CHICAGO RIDGE, IL 60415-2717
(708) 371-8006
(708) 389-6630
Mailing address
10604 SOUTHWEST HIGHWAY, SUITE 107, CHICAGO RIDGE, IL 60415-2717
(708) 371-8006
(708) 389-6630
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35-07-5771-Z
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119755
—
OH
Enumeration date
08/12/2006
Last updated
06/08/2018
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