Individual
DR. MANSOUR MOH'D ALSHOBAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7350 W COLLEGE DR STE 201, PALOS HEIGHTS, IL 60463-1190
(708) 424-9900
(708) 424-9901
Mailing address
8014 KIRKCALDY CT, PALOS HEIGHTS, IL 60463-2768
(219) 512-5533
(708) 424-9901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01069154A
IN
207Q00000X
Family Medicine Physician
Primary
125.053832
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125844
—
IL
Enumeration date
01/08/2009
Last updated
06/15/2023
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