Individual
HATEM DESOKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-7912
(309) 661-2368
(309) 662-9709
Mailing address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-7912
(309) 661-2368
(309) 662-9709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036147935
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036147935
IL
Other
Enumeration date
03/20/2012
Last updated
09/05/2025
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