Individual provider · NPI-1

Dr. Alqasem Alsaqri

Family Medicine · Tinley Park, IL

NPI number1053052993
StatusActive
Last updated in NPPESSep 5, 2025

Details

NPI
1053052993
Entity type
Individual (NPI-1)
Name
Dr. Alqasem Alsaqri
Sex
Male
Sole proprietor
No
Enumeration date
Apr 5, 2022
Certification date
Sep 5, 2025
Last updated
Sep 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036176145ILYes
390200000X Student in an Organized Health Care Education/Training Program–IL

Practice location

6701 159th St
Tinley Park, IL 60477-1758

Phone 708-429-3300

Mailing address

9555 S 52nd Ave
Oak Lawn, IL 60453-3054

Phone 708-422-5700 · Fax 708-422-8225

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