Affaneh, Mohamed

Affaneh, Mohamed is an individual health care provider with primary practice located at 1254 Lacoma Dr , Lockport IL 60441-3200. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Affaneh, Mohamed can be contacted via phone (708) 415-8875.

Contact Information

Primary practice address
1254 Lacoma Dr Lockport IL 60441-3200
Phone: (708) 415-8875
Fax: (773) 488-1523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X A15054080159 Illinois

Profile Details

NPI number 1558660407
LBN Legal business name Affaneh, Mohamed
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2011
Last updated Mar 17th, 2011 - about 13 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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