Individual
DR. SAMAR MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 HEALH SERVICES DRIVE, DEKALB, IL 60115
(815) 756-4875
(815) 787-9582
Mailing address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 787-9582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036110009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110009
—
IL
Enumeration date
11/16/2006
Last updated
03/12/2019
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