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General NPI Number Information
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NPI Number | 1215483391
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Entity Type | Individual
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Provider Name | AMER AL HOMSSI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 10604 SOUTHWEST HWY STE 200
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2717
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Country | US
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Telephone | 708-634-4644
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Fax | 708-634-4715
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Provider Business Mailing Address
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Address Line | 10604 SOUTHWEST HWY STE 200
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2717
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Country | US
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Telephone | 708-634-4644
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Fax | 708-634-4715
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.148318
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 036148318
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 71671
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License Number State | WI
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