Individual
MAMDOUH BAKHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, CHIEF OF STAFF OFFICE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, CHIEF OF STAFF OFFICE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036049423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049423
—
IL
Enumeration date
05/09/2007
Last updated
12/17/2015
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