Organization
ADULT MEDICAL CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESHAM A. WAZWAZ M.D. (PRESIDENT)
(708) 499-5599
Entity
Organization
Contact information
Practice address
10522 S CICERO AVE, SUITE 401, OAK LAWN, IL 60453-5200
(708) 499-5599
(708) 499-0024
Mailing address
10522 S CICERO AVE, SUITE 401, OAK LAWN, IL 60453-5200
(708) 499-5599
(708) 499-0024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-103718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-103718 1
—
IL
01
—
1912981242
DR. WAZWAZ'S PERSONAL NPI
IL
Enumeration date
12/18/2006
Last updated
03/29/2011
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