Organization
ANGELA HARPER MAHOME, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MAHOME M.D. (OWNER)
(815) 521-1889
Entity
Organization
Contact information
Practice address
15127 S 73RD AVE, SUITE C, ORLAND PARK, IL 60462-4398
(815) 521-1889
(815) 521-1889
Mailing address
PO BOX 613, CHANNAHON, IL 60410-0613
(815) 521-1889
(815) 521-1889
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036108008
IL
Other
Enumeration date
11/24/2011
Last updated
11/24/2011
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