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Contact Information

MAMDOUH BAKHOS, MD
2160 S 1ST AVE
CHIEF OF STAFF OFFICE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MAMDOUH BAKHOS · (Male)

NPI Number 1992919914
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2007
Last updated 12/17/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036049423
  • IL Medicaid 036049423
Hospital affiliation(s)
  • LOYOLA UNIVERSITY MEDICAL CENTER - (Acute Care)
    2160 S 1ST AVENUE
    MAYWOOD, IL 60153
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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