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Organization
HUSSEIN ORELLANA LTD
Active
Organization
HUSSEIN ORELLANA LTD
Active
Other names
Santa Fe Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULHAMID TAHA HUSSEIN MD (OWNER)
(708) 955-1793
Entity
Organization
Contact information
Practice address
720 COLLINS ST, JOLIET, IL 60432-1615
(815) 582-3565
(815) 582-3818
Mailing address
720 COLLINS ST STE B, JOLIET, IL 60432-1628
(708) 955-1793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-107501
STATE LIC #
IL
01
—
036-110260
STATE LIC #
IL
Enumeration date
01/16/2008
Last updated
08/03/2022
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