Individual
MUSTAFA HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
5201 WILLOW SPRINGS RD, STE 290, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 579-0018
(708) 579-7571
Mailing address
5201 WILLOW SPRINGS RD, STE 290, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 579-0018
(708) 579-7571
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238000357
IL
Other
Enumeration date
07/31/2013
Last updated
03/19/2015
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