Individual
HAMZEH OMAR BADWAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1490 E WALNUT ST STE A, WATSEKA, IL 60970-1833
(815) 432-7693
(815) 936-7228
Mailing address
1490 E WALNUT ST STE A, WATSEKA, IL 60970-1833
(815) 432-7693
(815) 936-7228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036158327
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
09/27/2021
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