Individual
MR. BAHIR A MANSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7318 MADISON ST, FOREST PARK, IL 60130-3100
(708) 366-1871
(708) 366-4519
Mailing address
7318 MADISON ST, FOREST PARK, IL 60130-3100
(708) 366-1871
(708) 366-4519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-065718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-065718
—
IL
Enumeration date
09/01/2006
Last updated
07/08/2007
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