Individual
ABDELNASIR MUSTAFA ELAWAD MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-9958
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-9958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036155731
IL
208M00000X
Hospitalist Physician
036155731
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2018
Last updated
04/30/2021
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