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Individual

MR. HOSSAM NADER ABDEL AZIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RSA

Contact information

Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2000
Mailing address
6016 MARSHALL AVE, CHICAGO RIDGE, IL 60415-1606
(708) 336-1948
(708) 634-3437

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238.000650
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IL

Other

Enumeration date
01/29/2020
Last updated
04/18/2023
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