Salem, Mohamed Medhat

Salem, Mohamed Medhat is an individual health care provider with primary practice located at 331 W Surf St Ste 703 , Chicago IL 60657-7227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Salem, Mohamed Medhat can be contacted via phone (773) 525-4701.

Contact Information

Primary practice address
331 W Surf St Ste 703 Chicago IL 60657-7227
Phone: (773) 525-4701
Fax: (773) 326-3539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036072417 Illinois

Profile Details

NPI number 1538139316
LBN Legal business name Salem, Mohamed Medhat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 23rd, 2020 - about 6 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 1538139316 NPPES
Illinois MEDICAID 036072417
Illinois Other P00291676
Illinois Other 01636011

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