Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 036135926 | IL |
NPI | 1013208412 |
---|---|
Provider Name | Albara Said |
First Address | Joliet, IL 60434-3877 |
Second Address | Olympia Fields, IL 60461-1179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 21/12/2021 |