Barakat, Mohamad
Barakat, Mohamad is an individual health care provider with primary practice located at 4700 W 95Th St Suite 103, Oak Lawn IL 60453-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Barakat, Mohamad can be contacted via phone (708) 422-9771.Contact Information
Primary practice address
4700 W 95Th St Suite 103
Oak Lawn IL 60453-2533
Phone: (708) 422-9771
Fax: (708) 422-9024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036078010 | Illinois |
Profile Details
| NPI number | 1770523201 |
|---|---|
| LBN Legal business name | Barakat, Mohamad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Nov 5th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770523201 | NPPES |
| Illinois | Other | 036078010 | STATE LICENSE |
| Illinois | Other | 731670553 | STATE LICENSE |
| Illinois | MEDICAID | 036078010 | STATE LICENSE |
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