Mamdouh H Hassaballa M.D.

NPI 1003815069 - General Practice - 208D00000X

NPI Details
NPI 1003815069
Gender Male
Enumeration Date 07/20/2005
Last Updated 12/16/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1105 MILWAUKEE AVE
RIVERWOODS IL, 60015-3512, US
Phone (847) 325-5110
Fax (847) 325-5114
Business Location
1105 MILWAUKEE AVE
RIVERWOODS IL, 60015-3512, US
Phone (847) 325-5110
Fax
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Dr. Mamdouh H Hassaballa M.D. NPI is 1003815069, taxonomy code is 208D00000X Mamdouh H Hassaballa M.D. physically located at 1105 Milwaukee Ave, Riverwoods IL, 60015-3512. NPI Number Mamdouh H Hassaballa M.D. has the Individual type.

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1003815069 NPI number is provided on an as is basis without warranty of any kind. 1003815069 is maintained by the National Plan & Provider Enumeration System. The contents of Mamdouh H Hassaballa M.D. are for informational purposes only.