Organization
HUSSEIN ORELLANA LTD
Active
Other names
Santa Fe Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULHAMID TAHA HUSSEIN MD (OWNER)
(708) 955-1793
Entity
Organization
Contact information
Practice address
720 COLLINS ST, JOLIET, IL 60432-1615
(815) 582-3565
(815) 582-3818
Mailing address
720 COLLINS ST STE B, JOLIET, IL 60432-1628
(708) 955-1793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-107501
STATE LIC #
IL
01
—
036-110260
STATE LIC #
IL
Enumeration date
01/16/2008
Last updated
08/03/2022
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