Healthcare Provider Details

I. General information

NPI: 1548180664
Provider Name (Legal Business Name): DR. MAHMOOD BILAL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6027 N CICERO AVE
CHICAGO IL
60646-4301
US

IV. Provider business mailing address

9889 S 27TH ST APT 105
FRANKLIN WI
53132-9569
US

V. Phone/Fax

Practice location:
  • Phone: 312-415-7097
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: