| Mazen Abdel-hadi, M.d., L.l.c. | |
|
133 Kraml Dr Burr Ridge IL 60527-0301 | |
| (630) 390-4678 | |
| Not Available |
| Full Name | Mazen Abdel-hadi, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Kraml Dr, Burr Ridge, Illinois |
| Authorized Official Name and Position | Mazen Abdel-hadi (OWNER) |
| Authorized Official Contact | 6303904678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazen Abdel-hadi, M.d., L.l.c. Po Box 1261 Westmont IL 60559-3861 Ph: () - | Mazen Abdel-hadi, M.d., L.l.c. 133 Kraml Dr Burr Ridge IL 60527-0301 Ph: (630) 390-4678 |
| NPI Number | 1083273080 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 02/19/2021 |
| Medicare PECOS PAC ID | 9133453343 |
|---|---|
| Medicare Enrollment ID | O20190621001730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083273080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Mazen Abdel Hadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356468672 PECOS PAC ID: 0042310211 Enrollment ID: I20070717000595 |
| Provider Name | Kristin J Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255874335 PECOS PAC ID: 9234413808 Enrollment ID: I20170227000653 |
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