Diab, Mazen
Diab, Mazen is an individual health care provider with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487-7581. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Diab, Mazen can be contacted via phone (630) 873-8875.Contact Information
Primary practice address
17495 La Grange Rd
Tinley Park IL 60487-7581
Phone: (630) 873-8875
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | MT198421 | Pennsylvania |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036-135420 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036135420 | Illinois |
Profile Details
NPI number | 1134436819 |
---|---|
LBN Legal business name | Diab, Mazen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2010 |
Last updated | Mar 30th, 2017 - about 8 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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