Ezzeldin A Saleh
Pediatric Infectious Diseases
301 N 8th St Ste 4a
Springfield
, Illinois 62701-1013
Ezzeldin A Saleh
Pediatric Infectious Diseases
301 N 8th St Ste 4a
Springfield
, Illinois 62701-1013
(217) 545-6040
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Ezzeldin A Saleh
- Po Box 19658
- Springfield, IL
- Zip : 62794-9658
- Fax : (217) 545-6040
- Phone : (217) 545-8000
Second Address
- Ezzeldin A Saleh
- 301 N 8th St Ste 4a
- Springfield, IL
- Zip : 62701-1013
- Fax : (217) 545-6040
- Phone : (217) 545-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | 036-144396 | IL |
National Provider Identifier
| NPI | 1417951971 |
|---|---|
| Provider Name | Ezzeldin A Saleh |
| First Address | Springfield, IL 62794-9658 |
| Second Address | Springfield, IL 62701-1013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2005 |
| Last Update Date | 09/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-144396 | STATE LICENSE (01) | IL |
| 1167665 | (05) | LA |
| 16766 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.