Individual
MAHMOUD ALSHAWWAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S WOOD ST # 114, CHICAGO, IL 60612-3834
(312) 563-1637
Mailing address
707 S WOOD ST # 114, CHICAGO, IL 60612-3840
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
036.169011
IL
Other
Enumeration date
05/22/2023
Last updated
09/04/2024
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