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General NPI Number Information
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NPI Number | 1194914093
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Entity Type | Organization
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Legal Business Name | ALZEIN MEDICAL LTD
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2850 W 95TH ST STE 400
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2755
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Country | US
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Telephone | 708-424-7600
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Fax | 708-424-7605
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Provider Business Mailing Address
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Address Line | 2850 W 95TH ST STE 400
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2755
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Country | US
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Telephone | 708-424-7600
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Fax | 708-424-7605
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | HASSAN ALZEIN
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Credential | M.D.
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Telephone | 708-424-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036088165
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036088165
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License Number State | IL
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