Individual
DR. TAREQ ALYOUSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1900 W POLK ST FL 15, DEPARTMENT OF MEDICINE, CHICAGO, IL 60612-3723
(312) 714-2694
Mailing address
1900 W POLK ST FL 15, DEPARTMENT OF MEDICINE, CHICAGO, IL 60612-3723
(312) 714-2694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122717
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-122717
IL
207RI0011X
Interventional Cardiology Physician
036-122717
IL
Other
Enumeration date
06/01/2009
Last updated
04/21/2021
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