Organization
MOHAMMED B GHABRA MD COMPREHENSIVE CLINICAL NEUROLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED B GHABRA MD (OWNER MD)
(815) 756-8554
Entity
Organization
Contact information
Practice address
8 HEALTH SERVICES DR, DEKALB, IL 60115-9647
(815) 756-8554
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036090016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090016
—
IL
Enumeration date
12/18/2006
Last updated
09/17/2008
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