Healthcare Provider Details

I. General information

NPI: 1326985649
Provider Name (Legal Business Name): MAHAF CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 W 95TH ST
EVERGREEN PARK IL
60805-2236
US

IV. Provider business mailing address

3360 W 95TH ST
EVERGREEN PARK IL
60805-2236
US

V. Phone/Fax

Practice location:
  • Phone: 708-423-3242
  • Fax: 708-423-2856
Mailing address:
  • Phone: 708-423-3242
  • Fax: 708-423-2856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MAHMOUD MAHAFZAH
Title or Position: AUTHORIZED OFFICIAL
Credential: DO
Phone: 708-423-3242