Individual
DR. ALA JABER ALBAZZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 ROOSEVELT RD STE 140, GLEN ELLYN, IL 60137-7813
(708) 307-2103
(630) 376-6186
Mailing address
1200 ROOSEVELT RD STE 140, GLEN ELLYN, IL 60137-7813
(708) 307-2103
(630) 376-6186
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036.070551
IL
207R00000X
Internal Medicine Physician
036070551
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036.070551
IL
Other
Enumeration date
04/09/2009
Last updated
12/04/2023
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