Individual
DR. CARL K ATALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 N HALSTED ST STE 623, CHICAGO, IL 60657-5196
(773) 281-5818
(773) 281-6859
Mailing address
3000 N HALSTED ST STE 623, CHICAGO, IL 60657-5196
(773) 281-5818
(773) 281-6859
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036127620
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400145031
PTAN
IL
Enumeration date
06/20/2008
Last updated
04/08/2025
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