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NPI Code Detail

MEDICARE: GIHANE FATME HILAL MD

MEDICARE:   GIHANE FATME HILAL  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 Physician036147105IL

General Provider Information

NPI Number : 1689026122
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIHANE FATME HILAL MD
Provider Business Mailing Address
First Line : 4965 E LOST BRIDGE RD
Second Line :
City : DECATUR
State : IL
Zip : 62521-5139
Country : US
Telephone Number : 847-316-4000
Fax Number :
Provider Business Practice Location Address
First Line : 4965 E LOST BRIDGE RD
Second Line :
City : DECATUR
State : IL
Zip : 62521-5139
Country : US
Telephone Number : 847-316-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2016
Last Update Date : 09/16/2019

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Directions to “ GIHANE FATME HILAL MD” Practice Location

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