Provider Demographics
NPI:1285646828
Name:ZAKKAR, MOHAMED M (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:M
Last Name:ZAKKAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10604 SOUTHWEST HIGHWAY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2717
Mailing Address - Country:US
Mailing Address - Phone:708-371-8006
Mailing Address - Fax:708-389-6630
Practice Address - Street 1:10604 SOUTHWEST HIGHWAY
Practice Address - Street 2:SUITE 107
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-2717
Practice Address - Country:US
Practice Address - Phone:708-371-8006
Practice Address - Fax:708-389-6630
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2018-06-08
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Provider Licenses
StateLicense IDTaxonomies
OH35-07-5771-Z207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2119755Medicaid
OH2119755Medicaid