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Individual

DR. EMAD ALLAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5306
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.150084
IL
2085R0202X
Diagnostic Radiology Physician
2011016825
MO
2085R0202X
Diagnostic Radiology Physician
75363
GA

Other

Enumeration date
06/20/2011
Last updated
10/25/2020
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