Sughayer, Mohamad

Sughayer, Mohamad is an sole proprietor health care provider with primary practice located at 4142 167Th St Ste 6 , Oak Forest IL 60452-3345. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Biochemist, which is considered as his primary health care specialty. Sughayer, Mohamad can be contacted via phone (708) 904-2424.

Contact Information

Primary practice address
4142 167Th St Ste 6 Oak Forest IL 60452-3345
Phone: (708) 904-2424
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Biochemist 246ZB0500X

Profile Details

NPI number 1003568882
LBN Legal business name Sughayer, Mohamad
Credentials TECHNICAL DIRECTORBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2022
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003568882 NPPES
Illinois MEDICAID 14D2249312

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