Individual
MOHAMMED AHSAN X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 S PULASKI RD, CHICAGO, IL 60624-4058
(773) 216-2786
Mailing address
73 63 CRAWFORD AVE, LINCOLNWOOD, IL 60712-2036
(773) 216-2786
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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