Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036-113906 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 036-113906 | IL |
NPI | 1245437086 |
---|---|
Provider Name | Dr. Sawsan Mokhtar Mostafa Awad |
First Address | Chicago, IL 60601-4021 |
Second Address | Chicago, IL 60612-3833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 21/04/2021 |