Mansur, Jamel Izzuddin

Mansur, Jamel Izzuddin is an individual health care provider with primary practice located at 1675 Dempster St , Park Ridge IL 60068-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mansur, Jamel Izzuddin can be contacted via phone (847) 318-9300.

Contact Information

Primary practice address
1675 Dempster St Park Ridge IL 60068-1110
Phone: (847) 318-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.081101 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1972229730
LBN Legal business name Mansur, Jamel Izzuddin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2022
Last updated Dec 8th, 2022 - about 3 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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