Individual provider · NPI-1

Amer Galal Abdulghafoor, MSW, MS, PA-C

Physician Assistant · Chicago, IL

NPI number1619401718
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1619401718
Entity type
Individual (NPI-1)
Name
Amer Galal Abdulghafoor
Credential
MSW, MS, PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 14, 2017
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085009495ILYes
1041C0700X Social Worker, Clinical6801098845MI
363AM0700X Physician Assistant, Medical085.009495IL

Practice location

641 W 63rd St
Chicago, IL 60621-2032

Phone 773-388-1600

Mailing address

641 W 63rd St
Chicago, IL 60621-2032

Phone 773-388-1600

Other practice locations

1542 W Devon Ave
Chicago, IL 60660-1344

Phone 773-482-5122

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