Individual
MOUTAZ SUNBULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164
Mailing address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036101494
IL
Other
Enumeration date
04/23/2007
Last updated
10/17/2024
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