Individual
DR. MAGED D. FAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF KENTUCKY MEDICAL CENTER, 800 ROSE STREET, MN 256, LEXINGTON, KY 40536
(859) 218-0097
(804) 828-8300
Mailing address
9425 S MADISON ST, BURR RIDGE, IL 60527-6850
(732) 514-6247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.164765
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036.164765
IL
207T00000X
Neurological Surgery Physician
R-10566
IA
Other
Enumeration date
06/15/2016
Last updated
07/29/2025
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