# NURSING HOME PHYSICIAN GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417703844
- **Authorized official:** AHMED HASAN ELGAMAL MD (OWNER)
- **Authorized official phone:** (708) 480-2650

## Contact information

- **Practice address:** 4320 WINFIELD RD STE 200, WARRENVILLE, IL 60555-4023
- **Practice address phone:** (630) 998-5994
- **Mailing address:** PO BOX 1109, CROWN POINT, IN 46308-1109
- **Mailing address phone:** (708) 480-2650
- **Mailing address fax:** (708) 575-2876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2024
- **Last updated:** 06/06/2024