Individual
DR. HYTHAM AL-MASRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8150 185TH ST STE A60487, TINLEY PARK, IL 60487-9229
(708) 444-0444
Mailing address
8150 185TH ST STE A, TINLEY PARK, IL 60487-9319
(708) 444-0444
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036-109631
IL
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-109631-1
—
IL
Enumeration date
07/15/2005
Last updated
12/08/2023
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