Mosabbeh, Jamal

Mosabbeh, Jamal is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mosabbeh, Jamal can be contacted via phone (815) 344-5000.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050-8409
Phone: (815) 344-5000
Fax: (815) 344-3347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209016788 Illinois

Profile Details

NPI number 1861410771
LBN Legal business name Mosabbeh, Jamal
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 1st, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861410771 NPPES
North Carolina MEDICAID 8051601
North Carolina Other 214881
North Carolina Other P00603483

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