MEDICARE: DR. HYTHAM AL-MASRI M.D.

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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	036-109631	IL
2	291U00000X	Clinical Medical Laboratory

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	:	1841299591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HYTHAM AL-MASRI M.D.

Provider Business Mailing Address
First Line	:	8150 185TH ST STE A
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-9319
Country	:	US
Telephone Number	:	708-444-0444
Fax Number	:

Provider Business Practice Location Address
First Line	:	8150 185TH ST STE A60487
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-9229
Country	:	US
Telephone Number	:	708-444-0444
Fax Number	:

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	12/08/2023

Similar Medicare Providers

1831373836 — HEMATOGENIX LABORATORY SERVICES, LLC
Practice Location Address:

8150 185TH ST , SUITE A
TINLEY PARK, IL
60487-9229

Practice Phone: 708-444-0444
Practice Fax: 708-444-0445

1447416482 — VICTORIA SHUSHARINA M.D
Practice Location Address:

8150 185TH ST , STE A
TINLEY PARK, IL
60487-9229

Practice Phone: 708-468-8716
Practice Fax:

1417485426 — DR. SUJATA SAJJAN MD
Practice Location Address:

8150 185TH ST
TINLEY PARK, IL
60487-9229

Practice Phone: 708-444-0444
Practice Fax:

1407849847 — DR. LYLE BRUCE BORMAN D.D.S.
Practice Location Address:

9229 QUEENS BLVD , SUITE 1K
REGO PARK, NY
11374-1056

Practice Phone: 718-459-1716
Practice Fax: 718-275-9841

1629066949 — SALIL P MARFATIA MD PC
Practice Location Address:

9229 QUEENS BLVD , SUITE 1-A
REGO PARK, NY
11374-1056

Practice Phone: 718-897-5700
Practice Fax: 718-897-2087

1750371464 — DR. MARINA SKUTELSKY D.D.S
Practice Location Address:

9229 QUEENS BLVD , SUITE 1E
REGO PARK, NY
11374-1056

Practice Phone: 718-268-8225
Practice Fax:

Directions to “ DR. HYTHAM AL-MASRI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.