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NPI Code Detail

MEDICARE: NADIA HALLAJ ILHARDT MD

MEDICARE:   NADIA HALLAJ ILHARDT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036.161389IL

General Provider Information

NPI Number : 1083275846
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA HALLAJ ILHARDT MD
Provider Business Mailing Address
First Line : 3800 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60624-2312
Country : US
Telephone Number : 773-826-6600
Fax Number :
Provider Business Practice Location Address
First Line : 3800 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60624-2312
Country : US
Telephone Number : 773-826-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 02/16/2023

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Directions to “ NADIA HALLAJ ILHARDT MD” Practice Location

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