Individual
AHMED ABDELFATTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(646) 827-7377
Mailing address
452 W ALDINE AVE APT 318, CHICAGO, IL 60657-3617
(646) 287-7377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125076982
IL
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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