Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD6070977 | WA |
NPI | 1124382825 |
---|---|
Provider Name | Suliman Alradawi |
First Address | Oak Lawn, IL 60453-3072 |
Second Address | Oak Lawn, IL 60453-3072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 21/12/2021 |