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NPI Code Detail

MEDICARE: ALEFIYA IBRAHIM AL-QAMARI M.D

MEDICARE: ALEFIYA IBRAHIM AL-QAMARI M.D
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
1207R00000XInternal Medicine Physician036.155450IL
2208M00000XHospitalist Physician036-155450IL

General Provider Information

NPI Number : 1114193125
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEFIYA IBRAHIM AL-QAMARI M.D
Provider Business Mailing Address
First Line : 1717 W CONGRESS PKWY STE 10
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3809
Country : US
Telephone Number : 312-942-3568
Fax Number :
Provider Business Practice Location Address
First Line : 1717 W CONGRESS PKWY STE 10
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3809
Country : US
Telephone Number : 312-942-3568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 05/09/2022

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