Provider Demographics
NPI:1881450799
Name:MAHMOOD, MARIA ELENA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARIA ELENA
Middle Name:
Last Name:MAHMOOD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E ELAINE CIR
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-1624
Mailing Address - Country:US
Mailing Address - Phone:847-323-1992
Mailing Address - Fax:
Practice Address - Street 1:7550 W ARGYLE ST
Practice Address - Street 2:
Practice Address - City:HARWOOD HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60706-3416
Practice Address - Country:US
Practice Address - Phone:708-867-0824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL41195714163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health