Individual
MOSSUB MOHAMAD QATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27650 FERRY RD STE 100, WARRENVILLE, IL 60555-3846
(630) 225-2663
(630) 225-2399
Mailing address
27650 FERRY RD STE 100, WARRENVILLE, IL 60555-3846
(630) 225-2663
(630) 225-2399
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036169313
IL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
036169313
IL
390200000X
Student in an Organized Health Care Education/Training Program
4351036073
MI
Other
Enumeration date
06/13/2018
Last updated
05/19/2025
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