Individual
DR. AIMAN H HAWASLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 MERCANTILE DR, HIGHLAND, IL 62249-1256
(618) 651-8097
(618) 651-8097
Mailing address
1280 MERCANTILE DR, HIGHLAND, IL 62249-1256
(618) 654-8985
(618) 651-8097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036050692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050692-1
—
IL
01
—
CK0761
RR MEDICARE PIN
IL
Enumeration date
12/07/2005
Last updated
11/22/2013
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