person
Dr. Mamdouh H Hassaballa, MD
General Practice Physician in Riverwoods, Illinois
NPI 1003815069

Mamdouh H Hassaballa is a General Practice Physician based in Riverwoods, IL. Mamdouh H Hassaballa practices in Riverwoods, IL and has the professional credentials of MD. The NPI Number for Mamdouh H Hassaballa is 1003815069 and holds a License No. 036069096 (Illinois).

The current practice location address for Mamdouh H Hassaballa is 1105 Milwaukee Ave, Riverwoods, IL and can be reached out via phone at 847-325-5110 and via fax at 847-325-5114.

Location: 1105 Milwaukee Ave, Riverwoods, IL, 60015-3512
person
Provider Profile Details
NPI Number
1003815069
Provider Name
Mamdouh H Hassaballa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1105 Milwaukee Ave, Riverwoods, IL, 60015-3512
Phone Number
847-325-5110
Fax Number
847-325-5114
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036069096 05 IL
institution
Provider Business Practice Location Address Details
Address
1105 Milwaukee Ave
City
State
Zip
60015-3512
Phone Number
847-325-5110
Fax Number
847-325-5114
person
Provider Business Mailing Address Details
Address
1105 Milwaukee Ave
City
State
Zip
60015-3512
Phone Number
847-325-5110
Fax Number
847-325-5114
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036069096 (Illinois)
Definition
Definition to come...
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