Individual
AWSSE HARITH HAMED AL-ANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
710 N FAIRBANKS CT FL 4, CHICAGO, IL 60611-3013
(561) 628-8289
Mailing address
710 N FAIRBANKS CT FL 4, CHICAGO, IL 60611-3013
(561) 628-8289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
294504
MA
207RN0300X
Nephrology Physician
Primary
036.169608
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/10/2024
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