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Contact Information

PIERROT ABI MANSOUR, MD
10837 S CICERO AVE
SUITE 200
OAK LAWN, IL60453-6458
 Phone: 708-636-7575
 Fax: 708-636-6193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PIERROT ABI MANSOUR · (Male)

NPI Number 1285627166
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2005
Last updated 12/17/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-071715
  • IL Medicaid 036071715
  • IL Other 21622931 BCBS GROUP #
  • IL Other CI8250 PALMETTO GBA GROUP #
  • IL Other 060053886 PALMETTO GBA INDIVIDUAL #
Hospital affiliation(s)
  • ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER - (Acute Care)
    4440 W 95TH STREET
    OAK LAWN, IL 60453
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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