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Individual

SALEH MIZYED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 580-1235
Mailing address
11436 AUTUMN RIDGE DR, ORLAND PARK, IL 60467-1343
(708) 580-1235

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.456796
IL
367500000X
Certified Registered Nurse Anesthetist
209028654
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28280014A
IN

Other

Enumeration date
08/21/2021
Last updated
09/30/2025
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