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NPI Code Detail

MEDICARE: DR. MICHAEL M AWAD D.O.

MEDICARE: DR. MICHAEL M AWAD D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036127157IL

General Provider Information

NPI Number : 1023279965
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL M AWAD D.O.
Provider Business Mailing Address
First Line : 5311 S HARLEM AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-1006
Country : US
Telephone Number : 630-854-9421
Fax Number :
Provider Business Practice Location Address
First Line : 5311 S HARLEM AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-1006
Country : US
Telephone Number : 773-586-0076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 07/03/2012

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Directions to “ DR. MICHAEL M AWAD D.O.” Practice Location

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