NPI 1659703726

Mustafa Hakim, CSA

Practitioner Surgical Technologist La Grange Highlands, IL

Practice location

Address: 5201 Willow Springs Rd STE 290, La Grange Highlands, IL 60525-6537
Phone: (708) 579-0018
Fax: (708) 579-7571

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 238000357 (IL)

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1659703726
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2013
Record last updated: 19 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.