Individual
EBRAHIM ALQADASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2000
(312) 567-6073
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2000
(312) 567-6073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.074392
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
07/14/2019
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