Individual
SIMI MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1631 N HALSTED ST, CHICAGO, IL 60614-0069
(312) 787-9199
Mailing address
3851 HOWARD ST, SKOKIE, IL 60076-3724
(773) 615-9880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006372
IL
Other
Enumeration date
11/05/2017
Last updated
10/06/2022
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