Barakat, Mohamad

Barakat, Mohamad is an individual health care provider with primary practice located at 4700 W 95Th St Suite 103, Oak Lawn IL 60453-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Barakat, Mohamad can be contacted via phone (708) 422-9771.

Contact Information

Primary practice address
4700 W 95Th St Suite 103 Oak Lawn IL 60453-2533
Phone: (708) 422-9771
Fax: (708) 422-9024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036078010 Illinois

Profile Details

NPI number 1770523201
LBN Legal business name Barakat, Mohamad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 5th, 2007 - about 17 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 1770523201 NPPES
Illinois Other 036078010 STATE LICENSE
Illinois Other 731670553 STATE LICENSE
Illinois MEDICAID 036078010 STATE LICENSE

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