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Ruba Qasem, SA-C

Specialist/Technologist, Other, Surgical Assistant in Bridgeview, IL. Individual provider (NPI-1).

NPI number1629899208
StatusActive
Last updated in NPPESOct 17, 2024

Details

NPI
1629899208
Entity type
Individual (NPI-1)
Name
Ruba Qasem
Credential
SA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2024
Certification date
Oct 17, 2024
Last updated
Oct 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant238000816ILYes

Practice location

9101 Falcon Ridge Dr
Bridgeview, IL 60455-2608

Phone 872-210-7324

Mailing address

9101 Falcon Ridge Dr
Bridgeview, IL 60455-2608

Phone 872-210-7324

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