Alpha Med Physicians Group, LLC
Specialist in Tinley Park, IL. Organization (NPI-2).
NPI number1760625867
StatusActive
Last updated in NPPESJul 24, 2020
Details
- NPI
- 1760625867
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Med Physicians Group, LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2009
- Certification date
- Jul 24, 2020
- Last updated
- Jul 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 2085R0001X | – | – | ||
| 207RG0100X | Internal Medicine, Gastroenterology | – | – |
Practice location
17333 La Grange RdSuite 200
Tinley Park, IL 60487-7502
Phone 708-342-1900 · Fax 708-429-3175
Mailing address
17333 La Grange RdSuite 200
Tinley Park, IL 60487-7502
Phone 708-342-1900 · Fax 708-429-3175
Authorized official
M. Mufaddal Hamadeh
Manager
7083421900
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