Search › Illinois › 172A00000X
Mohamed Affaneh
NPI 1558660407 · on the registry since 2011
Practice
- Address
- 1254 Lacoma Dr
Lockport, IL 60441 - Phone
- (708) 415-8875
- Fax
- (773) 488-1523
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-17
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