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NPI Code Detail

MEDICARE: MUBARAK A NOUR

MEDICARE:   MUBARAK A NOUR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

General Provider Information

NPI Number : 1497608194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUBARAK A NOUR
Provider Business Mailing Address
First Line : 7246 N RIDGE BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60645-2002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7246 N RIDGE BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60645-2002
Country : US
Telephone Number : 773-402-9205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ MUBARAK A NOUR ” Practice Location

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