Individual
MEHWISH MOKTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6326 CERMAK RD, BERWYN, IL 60402
(708) 303-9234
(773) 729-2074
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036148200
IL
Other
Enumeration date
05/21/2010
Last updated
11/20/2019
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