Most Relevant Information
Provider Data
| NPI Number: | 1003648288 |
| Provider Name: | SAFA MOHAMMAD |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 041453345 |
Most Important Dates
| Enumeration Date: | 08/16/2024 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
3333 GREEN BAY RD
NORTH CHICAGO
IL
600643037
Practice Location Phone/Fax
| Phone: | 8475783000 |
| Fax: |
Provider Mailing Location
3333 GREEN BAY RD
NORTH CHICAGO
IL
600643037
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |