Individual
AMAL JUBRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, HINES VA, BLDG. 1, MAYWOOD, IL 60153
(708) 216-5402
(708) 216-1259
Mailing address
2160 S FIRST AVE, HINES VA, BLDG. 1, MAYWOOD, IL 60153
(708) 216-5402
(708) 216-1259
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36081555
IL
207RP1001X
Pulmonary Disease Physician
Primary
036132472
IL
207RP1001X
Pulmonary Disease Physician
36081555
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36081555
—
IL
Enumeration date
12/30/2005
Last updated
05/07/2025
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