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General NPI Number Information
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NPI Number | 1407231913
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Entity Type | Individual
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Provider Name | ISSA ALHAMOUD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2015
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 9555 S 52ND AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-3054
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Country | US
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Telephone | 708-684-5437
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Fax | 708-876-1569
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Provider Business Mailing Address
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Address Line | 120 E OGDEN AVE STE 204
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City | HINSDALE
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State | IL
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Zip | 60521-3546
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Country | US
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Telephone | 214-449-3159
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Fax |
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | MD-47190
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD-47190
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | 036-159245
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License Number State | IL
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