Hamadeh, Mufaddal M
Hamadeh, Mufaddal M is an individual health care provider with primary practice located at 17333 La Grange Rd Ste 200 , Tinley Park IL 60487-7510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hamadeh, Mufaddal M can be contacted via phone (708) 342-1900.Contact Information
Primary practice address
17333 La Grange Rd Ste 200
Tinley Park IL 60487-7510
Phone: (708) 342-1900
Fax: (708) 745-9993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036080978 | Illinois |
Profile Details
| NPI number | 1598757718 |
|---|---|
| LBN Legal business name | Hamadeh, Mufaddal M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598757718 | NPPES |
| Illinois | Other | 0293780001 | JURISDICTION B DME MAC |
| Illinois | MEDICAID | 036080978 | JURISDICTION B DME MAC |
| Illinois | Other | 110084792 | JURISDICTION B DME MAC |
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