Individual
HARIS ALEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01079909A
IN
208M00000X
Hospitalist Physician
Primary
036.125239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036125239
STATE LICENSE
IL
05
—
036125239
—
IL
01
—
F400281754
MEDICARE PTAN
IL
Enumeration date
09/27/2005
Last updated
01/28/2022
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