Individual
MOHANNAD MUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
981 W SOUTH ST, FREEPORT, IL 61032-6778
(708) 890-4879
Mailing address
14546 S APPALOOSA LN, HOMER GLEN, IL 60491-8303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019035994
IL
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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