Mourad, Mariam R
Mourad, Mariam R is an individual health care provider with primary practice located at 909 Davis St Suite 160, Evanston IL 60201-3683. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mourad, Mariam R can be contacted via phone (847) 425-6445.Contact Information
Primary practice address
909 Davis St Suite 160
Evanston IL 60201-3683
Phone: (847) 425-6445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071008016 | Illinois |
Profile Details
| NPI number | 1154623122 |
|---|---|
| LBN Legal business name | Mourad, Mariam R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2010 |
| Last updated | Nov 24th, 2010 - about 16 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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