Individual
MANSOUR MOHAMMADI OROUJEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201-6686
(847) 570-1010
(847) 733-5108
Mailing address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201-6686
(847) 570-1010
(847) 733-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036154024
IL
207R00000X
Internal Medicine Physician
125.071775
IL
208M00000X
Hospitalist Physician
Primary
036154024
IL
Other
Enumeration date
07/14/2018
Last updated
05/20/2021
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