Jalab, Mohamad
Jalab, Mohamad is an sole proprietor health care provider with primary practice located at 19015 S Jodi Rd Ste H , Mokena IL 60448-8534. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Jalab, Mohamad can be contacted via phone (708) 995-5418.Contact Information
Primary practice address
19015 S Jodi Rd Ste H
Mokena IL 60448-8534
Phone: (708) 995-5418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1952058794 |
|---|---|
| LBN Legal business name | Jalab, Mohamad |
| Credentials | RSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2022 |
| Last updated | Mar 2nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952058794 | NPPES |
| Illinois | Other | 238000603 | ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION |
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