Individual
DR. MOHAMMED B GHABRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12632 S HARLEM AVE, PALOS HEIGHTS, IL 60463
(708) 587-0000
Mailing address
12632 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1428
(708) 587-0000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-090016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090016
—
IL
Enumeration date
08/09/2005
Last updated
04/09/2021
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