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General NPI Number Information
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NPI Number | 1801000476
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Entity Type | Individual
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Provider Name | AHMED ABDELLATIF HUSSEIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3800 W 203RD ST STE 201
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1185
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Country | US
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Telephone | 708-852-2551
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Fax | 708-679-2699
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Provider Business Mailing Address
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Address Line | 35318 EAGLE WAY
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City | CHICAGO
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State | IL
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Zip | 60678-1353
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 036157555
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | E-10875
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036157555
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License Number State | IL
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