Individual
ISMAIL QATTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01081966A
IN
207RN0300X
Nephrology Physician
036-120417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538329982 1
—
IL
01
—
279500
MEDICARE GROUP
IL
Enumeration date
06/10/2008
Last updated
10/24/2023
Update your record
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