Mutasem Moussa, MA

NPI #1568038800 in Chicago Ridge, Illinois

Provider Information

NPI Number: 1568038800
Entity Type: Individual
Name: Mutasem Moussa, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: MA
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 9830 RIDGELAND AVE STE 9A
City: Chicago Ridge
State: Illinois
ZIP Code: 60415-2668
Phone: (708) 642-6457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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