Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 036152691 | IL |
NPI | 1023496239 |
---|---|
Provider Name | Nabil Thomas Makhlouf |
First Address | Evanston, IL 60201-1780 |
Second Address | Evanston, IL 60201-1780 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2015 |
Last Update Date | 16/07/2020 |