Individual
MR. YOUSSEF JAMAL SHAMMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2408
(618) 899-4000
Mailing address
105 SPARTAN CIRCLE, APT 1, O FALLON, IL 62269
(646) 986-2940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
308231-01
NY
207RP1001X
Pulmonary Disease Physician
Primary
036.175098
IL
207RP1001X
Pulmonary Disease Physician
4301511751
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036.175098
IL
Other
Enumeration date
08/01/2017
Last updated
08/14/2025
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