Individual
A B M NASIBUL ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
4201 MEDICAL CENTER DRIVE, NORTHWESTERN MEDICINE MCHENRY HOSPITAL, MCHENRY, IL 60050
(815) 344-5000
Mailing address
4201 MEDICAL CENTER DRIVE, NORTHWESTERN MEDICINE MCHENRY HOSPITAL, MCHENRY, IL 60050
(815) 344-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.080879
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
08/07/2023
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