Individual
MAHMOUD HIJAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S WOOD ST # MC675, CHICAGO, IL 60612-4325
(312) 996-2933
Mailing address
48495 LAKE VALLEY DR, SHELBY TWP, MI 48317-2128
(586) 431-1144
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/21/2024
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