Healthcare Provider Details

I. General information

NPI: 1346174521
Provider Name (Legal Business Name): MAJDEE KAMAL PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9870 CORDOBA CT APT 2A
ORLAND PARK IL
60462-3971
US

IV. Provider business mailing address

9870 CORDOBA CT APT 2A
ORLAND PARK IL
60462-3971
US

V. Phone/Fax

Practice location:
  • Phone: 708-407-6034
  • Fax:
Mailing address:
  • Phone: 708-407-6034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: