Search › Illinois › 122300000X
Mazen Eisho
NPI 1033782271 · on the registry since 2021 · sole proprietor
Practice
- Address
- 722 Rand Grove Ln Apt 2a
Palatine, IL 60074 - Phone
- (773) 952-9109
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois