Individual
YAZAN NEDAL SAMEH ALHALASEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(872) 400-1397
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(872) 400-1397
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
036.169595
IL
207ZH0000X
Hematology (Pathology) Physician
Primary
35.153558
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.078052
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2021
Last updated
05/15/2026
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