Individual
MOHAMED BOSHNAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117-2905
(501) 955-4530
Mailing address
15127 ORLAN BROOK DR APT 3N, ORLAND PARK, IL 60462-3951
(646) 226-8505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036168476
IL
208M00000X
Hospitalist Physician
036168476
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2021
Last updated
07/17/2024
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