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NPI Code Detail

MEDICARE: NATHAN ALHALEL MD, MPH

MEDICARE:   NATHAN  ALHALEL  MD, MPH
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
1207R00000XInternal Medicine Physician275483MA
2207RG0100XGastroenterology Physician036172749IL
3207RG0100XGastroenterology PhysicianMD31588149WA

General Provider Information

NPI Number : 1982097408
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN ALHALEL MD, MPH
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4003 CREEKSIDE LOOP
Second Line :
City : YAKIMA
State : WA
Zip : 98908-3962
Country : US
Telephone Number : 509-746-4125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2015
Last Update Date : 02/07/2025

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