Individual
AHMAD ALKADDOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15300 WEST AVE STE 210, ORLAND PARK, IL 60462-4686
(708) 226-2870
(708) 226-2315
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
(202) 877-0876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81162
GA
207R00000X
Internal Medicine Physician
MD044169
DC
207R00000X
Internal Medicine Physician
ME119677
FL
207RG0100X
Gastroenterology Physician
Primary
036169650
IL
207RG0100X
Gastroenterology Physician
81162
GA
207RG0100X
Gastroenterology Physician
84938
SC
207RG0100X
Gastroenterology Physician
86430-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100375900
—
WI
Enumeration date
04/05/2011
Last updated
11/14/2025
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