Dr. Emad Allam, M.D.
Radiology, Diagnostic Radiology in Maywood, IL. Individual provider (NPI-1).
NPI number1649566480
StatusActive
Last updated in NPPESOct 25, 2020
Details
- NPI
- 1649566480
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emad Allam
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2011
- Certification date
- Oct 25, 2020
- Last updated
- Oct 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036.150084 | IL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 75363 | GA | |
| 2085R0202X | Radiology, Diagnostic Radiology | 2011016825 | MO |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-5306
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
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