Individual
DR. MAHMOUD MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9125 S PULASKI RD, EVERGREEN PARK, IL 60805-1441
(708) 422-7715
(708) 422-7816
Mailing address
9125 S PULASKI RD, EVERGREEN PARK, IL 60805-1441
(708) 422-7715
(708) 422-7816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-4355
MS
207RN0300X
Nephrology Physician
Primary
036167476
IL
Other
Enumeration date
09/06/2019
Last updated
07/31/2024
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