Individual
DR. MAHVISH ZAHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 W WHITTAKER ST, SALEM, IL 62881-1917
(618) 548-3740
(618) 548-3705
Mailing address
1250 W WHITTAKER ST, SALEM, IL 62881-1917
(618) 548-3740
(618) 548-3705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108919
—
IL
01
—
207988
GROUP
IL
01
—
CG2264
RR GRP
IL
Enumeration date
04/06/2006
Last updated
11/17/2020
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