Individual
AMJAD ELMASHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(319) 471-5605
Mailing address
221 W HARRISON ST APT 412, CHICAGO, IL 60607-5049
(319) 471-5605
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
036175150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036175150
MEDICAL LICENSE
IL
01
—
ME154538
FULL MEDICAL LICENSE
FL
01
—
R-11087
RESIDENT LICENSE
IA
Enumeration date
07/12/2018
Last updated
07/14/2025
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