Mohanad Ziad Affaneh
Individual provider Active NPI Driver · Tinley Park, IL
NPI 1467249490 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1467249490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 6745 S Pointe Dr Unit 2D
Tinley Park, IL 60477-6287 - Phone
- (708) 793-2928
- NPI assigned
- Apr 23, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
6745 S Pointe Dr Unit 2D
Tinley Park, IL 60477-6287
Mailing address
6745 S Pointe Dr Unit 2D
Tinley Park, IL 60477-6287
Phone (708) 793-2928
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.