Latef, Mamoor Shahid
Latef, Mamoor Shahid is an individual health care provider with primary practice located at 2160 S 1St Ave Bldg 107 , Maywood IL 60153-3328. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Latef, Mamoor Shahid can be contacted via phone (708) 216-9100.Contact Information
Primary practice address
2160 S 1St Ave Bldg 107
Maywood IL 60153-3328
Phone: (708) 216-9100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036167999 | Illinois |
Profile Details
| NPI number | 1255890331 |
|---|---|
| LBN Legal business name | Latef, Mamoor Shahid |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Sep 23rd, 2024 - about 2 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.
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