Sughayer, Mohamad
Sughayer, Mohamad is an sole proprietor health care provider with primary practice located at 4142 167Th St Ste 6 , Oak Forest IL 60452-3345. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Biochemist, which is considered as his primary health care specialty. Sughayer, Mohamad can be contacted via phone (708) 904-2424.Contact Information
Primary practice address
4142 167Th St Ste 6
Oak Forest IL 60452-3345
Phone: (708) 904-2424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Biochemist | 246ZB0500X |
Profile Details
| NPI number | 1003568882 |
|---|---|
| LBN Legal business name | Sughayer, Mohamad |
| Credentials | TECHNICAL DIRECTORBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2022 |
| Last updated | Jan 22nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003568882 | NPPES |
| Illinois | MEDICAID | 14D2249312 |
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