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General NPI Number Information
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NPI Number | 1982254850
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Entity Type | Organization
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Legal Business Name | YUSUF SALAH LLC
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 7300 W COLLEGE DR STE 102
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1181
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Country | US
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Telephone | 708-840-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 6321 DEMPSTER ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-2848
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Country | US
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Telephone | 312-262-6434
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | YUSUF SALAH
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Credential | MD
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Telephone | 312-262-6434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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