Shenouda, Mounir

Shenouda, Mounir is an individual health care provider with primary practice located at 317 Salem Place Ste 140 , Fairview Heights IL 62208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shenouda, Mounir can be contacted via phone (618) 632-3343.

Contact Information

Primary practice address
317 Salem Place Ste 140 Fairview Heights IL 62208
Phone: (618) 632-3343
Fax: (618) 632-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0360965361 Illinois

Profile Details

NPI number 1235180043
LBN Legal business name Shenouda, Mounir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 19th, 2012 - about 13 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 1235180043 NPPES
Illinois MEDICAID 0360965361

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