Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 036-102971 | IL |
NPI | 1336109784 |
---|---|
Provider Name | Dr. Abdulateef O Kareem |
First Address | Orland Hills, IL 60477-5610 |
Second Address | Calumet City, IL 60409-5459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 25/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H52470 | (02) |