Individual
DR. EYAD ALHAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PROVENA WAY STE C, BOURBONNAIS, IL 60914-4798
(815) 937-9370
Mailing address
100 PROVENA WAY STE C, BOURBONNAIS, IL 60914-4798
(815) 937-9370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34500
KY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
036143114
IL
207RC0000X
Cardiovascular Disease Physician
036143114
IL
207RI0011X
Interventional Cardiology Physician
Primary
036143114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300029112
—
IN
05
—
64345002
—
KY
Enumeration date
08/21/2006
Last updated
04/16/2024
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