Individual
DR. HESHAM A WAZWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10448 S PULASKI RD, SUITE 3, OAK LAWN, IL 60453-4895
(708) 634-7404
(708) 634-7407
Mailing address
10741 LOCKWOOD AVE, OAK LAWN, IL 60453-6305
(872) 267-5025
(872) 267-5019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036103718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103718
—
IL
Enumeration date
11/30/2005
Last updated
03/14/2017
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