Individual
DR. MUHANNAD KAYALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6920 OGDEN AVE, BERWYN, IL 60402-3685
(708) 482-3118
(708) 482-3140
Mailing address
6920 OGDEN AVE, BERWYN, IL 60402-3685
(708) 447-1700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37720
WI
207R00000X
Internal Medicine Physician
036-094540
IL
207R00000X
Internal Medicine Physician
37720
WI
207R00000X
Internal Medicine Physician
64562
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036094540
STATE LICENSE
IL
01
—
IL5578
MEDICARE PTAN
—
Enumeration date
10/25/2005
Last updated
08/22/2023
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