Individual
SELMA MAHMUTOVIC SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
2730 W ARMITAGE AVE APT 3E, CHICAGO, IL 60647-4326
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036.165006
IL
Other
Enumeration date
04/05/2019
Last updated
06/13/2023
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