MEDICARE: TONY NAHHAS MD

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
1	207R00000X	Internal Medicine Physician	036088623	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285619056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONY NAHHAS MD

Provider Business Mailing Address
First Line	:	2740 W FOSTER AVE
Second Line	:	STE LL7
City	:	CHICAGO
State	:	IL
Zip	:	60625-3543
Country	:	US
Telephone Number	:	773-878-8200
Fax Number	:	773-293-4197

Provider Business Practice Location Address
First Line	:	6444 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-2935
Country	:	US
Telephone Number	:	773-631-5858
Fax Number	:	773-631-5895

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	10/30/2020

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Directions to “ TONY NAHHAS MD” Practice Location

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