Individual
SAMER NABIL MUALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
465 N PARK DR APT 905, CHICAGO, IL 60611-0005
(610) 406-3956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD469899
PA
207RC0000X
Cardiovascular Disease Physician
MD469899
PA
207RI0011X
Interventional Cardiology Physician
Primary
036.168688
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033170000001
—
PA
Enumeration date
03/22/2017
Last updated
06/13/2024
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