Mahmood, Samar
Mahmood, Samar is an individual health care provider with primary practice located at 12 Healh Services Drive , Dekalb IL 60115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mahmood, Samar can be contacted via phone (815) 756-4875.Contact Information
Primary practice address
12 Healh Services Drive
Dekalb IL 60115
Phone: (815) 756-4875
Fax: (815) 787-9582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036110009 | Illinois |
Profile Details
| NPI number | 1669545943 |
|---|---|
| LBN Legal business name | Mahmood, Samar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Mar 12th, 2019 - about 5 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 | 1669545943 | NPPES |
| Illinois | MEDICAID | 036110009 |
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