Individual
ALIA MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9930 SOUTHWEST HWY, OAK LAWN, IL 60453-3763
(708) 424-0900
Mailing address
16765 W ONEIDA DR, LOCKPORT, IL 60441-4244
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209032180
IL
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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