Abi Mansour, Pierrot

Abi Mansour, Pierrot is an individual health care provider with primary practice located at 10837 S Cicero Ave Suite 200, Oak Lawn IL 60453-6458. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Abi Mansour, Pierrot can be contacted via phone (708) 636-7575.

Contact Information

Primary practice address
10837 S Cicero Ave Suite 200 Oak Lawn IL 60453-6458
Phone: (708) 636-7575
Fax: (708) 636-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036-071715 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-071715 Illinois

Profile Details

NPI number 1285627166
LBN Legal business name Abi Mansour, Pierrot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Dec 17th, 2021 - 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 1285627166 NPPES
Illinois Other CI8250 PALMETTO GBA GROUP #
Illinois MEDICAID 036071715 PALMETTO GBA GROUP #
Illinois Other 21622931 PALMETTO GBA GROUP #
Illinois Other 060053886 PALMETTO GBA GROUP #

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