Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 036102073 | IL |
NPI | 1033133996 |
---|---|
Provider Name | Dr. David Y. Badawi |
First Address | Arlington Heights, IL 60005-5003 |
Second Address | Arlington Heights, IL 60005-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 14/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036102073 | (05) | IL |
1633328 | BCBS (01) | IL |
H29498 | (02) | IL |
P00061004 | RETIRED RAILROAD MEDICARE (01) | IL |