Mr. Mohamed Affaneh
Mr. Mohamed Affaneh is a Driver in Lockport, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1254 Lacoma DrLockport, IL 60441-3200
Phone: (708) 415-8875
Fax: (773) 488-1523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence A15054080159 (IL) |
|---|
Record details
| NPI number | 1558660407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 17, 2011 |
| Last updated in NPPES | March 17, 2011 |
| Mailing address | 1254 Lacoma Dr, Lockport, IL 60441-3200 |