Individual
DR. MOHAMAD BARAKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 W 95TH ST, SUITE 103, OAK LAWN, IL 60453-2533
(708) 422-9771
(708) 422-9024
Mailing address
4700 W 95TH ST, OAK LAWN, IL 60453-2539
(708) 422-9771
(708) 422-9024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036078010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036078010
STATE LICENSE
IL
05
—
036078010
—
IL
01
—
731670553
TAX ID
—
Enumeration date
06/06/2006
Last updated
11/05/2007
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