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1225047921 NPI number — ADEEB ALSHAHROUR MD

NPI Number: 1225047921
Health Care Provider/Practitioner: ADEEB ALSHAHROUR MD

Information about “1225047921” NPI (ADEEB ALSHAHROUR MD) exists in 1225047921 in HTML format HTML  |  1225047921 in plain Text format TXT  |  1225047921 in PDF (Portable Document Format) PDF  |  1225047921 in an XML format XML  formats.

NPI Number : 1225047921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225047921",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALSHAHROUR",
    "FirstName": "ADEEB",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALSHAHROUR",
    "OtherFirstName": "ADEEB",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4009 W FULLERTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60639-2103",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-415-6996",
    "MailingAddressFaxNumber": "888-289-5746",
    "FirstLinePracticeLocationAddress": "4009 W FULLERTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60639-2103",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-661-9049",
    "PracticeLocationAddressFaxNumber": "888-289-5746",
    "EnumerationDate": "08/05/2006",
    "LastUpdateDate": "10/05/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "036112499",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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