Individual
YASEEN ALKADDOUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15300 WEST AVE STE 108, ORLAND PARK, IL 60462-4685
(708) 226-2318
(708) 226-2319
Mailing address
15300 WEST AVE STE 108, ORLAND PARK, IL 60462-4685
(708) 226-2318
(708) 226-2319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085436A
IN
207RH0003X
Hematology & Oncology Physician
01085436A
IN
207RH0003X
Hematology & Oncology Physician
Primary
036142341
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.066101
IL
Other
Enumeration date
12/12/2014
Last updated
10/21/2022
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