Mahome, Angela H

Mahome, Angela H is an individual health care provider with primary practice located at 13011 S 104Th Ave Suite 200, Palos Park IL 60464-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mahome, Angela H can be contacted via phone (708) 448-3300.

Contact Information

Primary practice address
13011 S 104Th Ave Suite 200 Palos Park IL 60464-1500
Phone: (708) 448-3300
Fax: (708) 448-6972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1265576011
LBN Legal business name Mahome, Angela H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265576011 NPPES
Illinois Other 01623882 BCBS

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