Search › Illinois › 213ES0103X
Haytham Mansour, D.P.M
NPI 1811078207 · on the registry since 2006 · sole proprietor
Practice
- Address
- 19255 Everett Ln
Suite B
Mokena, IL 60448 - Phone
- (630) 656-3171
- Fax
- (630) 657-0131
- Organisation at this address
- Clinical Laboratory Inc
Hmi Foot And Ankle Group, ScInferred from a shared address, not stated in the registry.
Additional practice sites
- 19255 Everett Ln, Mokena, IL
- 2734 W 87th St, Chicago, IL
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213ES0103X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-10
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