| Angela Harper Mahome, M.d., S.c. | |
|
15127 S 73rd Ave Suite C Orland Park IL 60462-4398 | |
| (815) 521-1889 | |
| (815) 521-1889 |
| Full Name | Angela Harper Mahome, M.d., S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 15127 S 73rd Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Angela Mahome (OWNER) |
| Authorized Official Contact | 8155211889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Harper Mahome, M.d., S.c. Po Box 613 Channahon IL 60410-0613 Ph: (815) 521-1889 | Angela Harper Mahome, M.d., S.c. 15127 S 73rd Ave Suite C Orland Park IL 60462-4398 Ph: (815) 521-1889 |
| NPI Number | 1952678625 |
|---|---|
| Provider Enumeration Date | 11/24/2011 |
| Last Update Date | 11/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952678625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036108008 (Illinois) | Primary |
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