Ansari, Mohammed Abdul Mannan

Ansari, Mohammed Abdul Mannan is an sole proprietor health care provider with primary practice located at 7350 W College Dr Ste 103 , Palos Heights IL 60463-1187. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ansari, Mohammed Abdul Mannan can be contacted via phone (708) 694-9876.

Contact Information

Primary practice address
7350 W College Dr Ste 103 Palos Heights IL 60463-1187
Phone: (708) 694-9876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.010291 Illinois

Profile Details

NPI number 1154185387
LBN Legal business name Ansari, Mohammed Abdul Mannan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2024
Last updated Feb 8th, 2024 - about 10 months 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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