Individual provider · Type 1 NPI
Haytham Mansour, D.P.M.
Foot & Ankle Surgery Podiatrist · Mokena, IL
NPI number
1811078207
Active
Practice location
19255 Everett Ln, Suite B
Mokena, IL 60448
Fax (630) 657-0131
Mailing address
PO Box 711
Lombard, IL 60148-0711
Other practice locations
- 19255 Everett Ln, Suite B, Mokena, IL 60448 · (630) 656-3171
- 2734 W 87th St, Chicago, IL 60652-3937 · (177) 391-8470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001118A (IN) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016005301 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Mokena
About NPI 1811078207
Haytham Mansour, D.P.M.'s National Provider Identifier is 1811078207, issued on Oct 18, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mokena, IL. The record was last updated on Jan 10, 2020.