Individual
FATEN EL AMMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-6496
(312) 996-4169
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
036.151590
IL
2084N0400X
Neurology Physician
Primary
036.151590
IL
Other
Enumeration date
08/03/2016
Last updated
09/06/2022
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