Bakhos, Mamdouh

Bakhos, Mamdouh is an individual health care provider with primary practice located at 2160 S 1St Ave Chief Of Staff Office, Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bakhos, Mamdouh can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Chief Of Staff Office Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036049423 Illinois

Profile Details

NPI number 1992919914
LBN Legal business name Bakhos, Mamdouh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Dec 17th, 2015 - about 9 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 1992919914 NPPES
Illinois MEDICAID 036049423

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