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Contact Information

JAMAL MOSABBEH, CRNA
4201 W MEDICAL CENTER DR
MCHENRY, IL60050-8409
 Phone: 815-344-5000
 Fax: 815-344-3347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JAMAL MOSABBEH · (Male)

NPI # 1861410771
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 07/18/2006
Last updated 12/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209016788
  • NC Medicaid 8051601
  • IL Other 214881 MEDICARE MULTISPECIALTY GROUP PTAN
  • NC Other P00603483 RAILROAD MEDICARE
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
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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