Organization
MAGDY K AWAD, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDY AWAD MD (OWNER)
(630) 854-9421
Entity
Organization
Contact information
Practice address
5311 S HARLEM AVE, CHICAGO, IL 60638-1006
(773) 586-0076
(773) 586-0052
Mailing address
5311 S HARLEM AVE, CHICAGO, IL 60638-1006
(773) 586-0076
(773) 586-0052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036051586
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051586
—
IL
01
—
21609841
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/19/2012
Last updated
07/19/2012
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