Individual
HUSAM BASSAM ALI ABU NEJIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 202-8387
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP05737
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
125.086891
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2022
Last updated
06/23/2025
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