Individual
TAREK I HASSABALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12255 S 80TH AVE STE 202, PALOS HEIGHTS, IL 60463-1284
(708) 923-7878
(708) 923-7888
Mailing address
12255 S 80TH AVE STE 202, PALOS HEIGHTS, IL 60463-1284
(708) 923-7878
(708) 923-7888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036153276
IL
2084P0800X
Psychiatry Physician
Primary
2017015908
MO
Other
Enumeration date
05/24/2017
Last updated
02/09/2024
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