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Mr. Mohamed Affaneh
Driver in Lockport, Illinois
NPI 1558660407

Mohamed Affaneh is a Driver based in Lockport, IL. Mohamed Affaneh practices in Lockport, IL. The NPI Number for Mohamed Affaneh is 1558660407 and holds a License No. A15054080159 (Illinois).

The current practice location address for Mohamed Affaneh is 1254 Lacoma Dr, Lockport, IL and can be reached out via phone at 708-415-8875 and via fax at 773-488-1523.

Location: 1254 Lacoma Dr, Lockport, IL, 60441-3200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558660407
Provider Name
Mohamed Affaneh
Credential
Provider Entity Type
Individual
Gender
Male
Address
1254 Lacoma Dr, Lockport, IL, 60441-3200
Phone Number
708-415-8875
Fax Number
773-488-1523
Provider Enumeration Date
03/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1254 Lacoma Dr
City
Lockport
State
Illinois
Zip
60441-3200
Phone Number
708-415-8875
Fax Number
773-488-1523
person
Provider Business Mailing Address Details
Address
1254 Lacoma Dr
City
Lockport
State
Illinois
Zip
60441-3200
Phone Number
708-415-8875
Fax Number
773-488-1523
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
A15054080159 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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