Individual
AHMAD HEFNAWY MOHAMMAD HEFNAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(929) 571-8905
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(929) 571-8905
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125081061
IL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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