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Individual

DR. YASER A. MAKSOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
8534 THOMAS CHARLES LN, HICKORY HILLS, IL 60457-4101
(312) 731-4949
(708) 496-6466

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238.000220
IL

Other

Enumeration date
03/25/2009
Last updated
03/26/2009
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