Individual
SULEIMAN MOHAMED SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1434 W OLIVE AVE # 3, CHICAGO, IL 60660-4229
(773) 580-4350
Mailing address
PO BOX 87684, CHICAGO, IL 60680-0684
(773) 580-4350
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IL
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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