Individual provider · NPI-1

Dr. Mohammad Abou El-Ezz, MD

Surgery · Chicago, IL

NPI number1790536746
StatusActive
Last updated in NPPESJun 25, 2026

Details

NPI
1790536746
Entity type
Individual (NPI-1)
Name
Dr. Mohammad Abou El-Ezz
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2024
Certification date
Jun 25, 2026
Last updated
Jun 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery125.088862ILYes

Practice location

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Phone 773-665-6237 · Fax 773-665-6232

Mailing address

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Phone 773-665-6237

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery providers in Chicago, IL