Saleh, Ezzeldin A

Saleh, Ezzeldin A is an individual health care provider with primary practice located at 301 N 8Th St Ste 4A , Springfield IL 62701-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Saleh, Ezzeldin A can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
301 N 8Th St Ste 4A Springfield IL 62701-1013
Phone: (217) 545-8000
Fax: (217) 545-6040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 036-144396 Illinois

Profile Details

NPI number 1417951971
LBN Legal business name Saleh, Ezzeldin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2005
Last updated Dec 9th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417951971 NPPES
Illinois Other 036-144396 STATE LICENSE
Illinois MEDICAID 1167665 STATE LICENSE

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