Organization
HAMA MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMDI KHILFEH M. D. (VICE PRESIDENT)
(708) 200-6615
Entity
Organization
Contact information
Practice address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(708) 422-1363
(708) 422-1256
Mailing address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(708) 422-1363
(708) 422-1256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036098660
IL
207R00000X
Internal Medicine Physician
Primary
—
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086922
—
IL
05
—
036093254
—
IL
05
—
036098660
—
IL
05
—
036110790
—
IL
Enumeration date
03/23/2016
Last updated
03/23/2016
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