Souman, Mouhammad E
Souman, Mouhammad E is an individual health care provider with primary practice located at 3452 Grove Ave Suite 202, Berwyn IL 60402-3636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Souman, Mouhammad E can be contacted via phone (708) 484-0621.Contact Information
Primary practice address
3452 Grove Ave Suite 202
Berwyn IL 60402-3636
Phone: (708) 484-0621
Fax: (708) 484-0250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-049688 | Illinois |
Profile Details
NPI number | 1366431322 |
---|---|
LBN Legal business name | Souman, Mouhammad E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2005 |
Last updated | Mar 9th, 2011 - about 14 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 | 1366431322 | NPPES |
Illinois | MEDICAID | 036049688 | |
Illinois | Other | 01619787 |
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