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Contact Information

ALA J ALBAZZAZ, MD
1200 ROOSEVELT RD STE 140
GLEN ELLYN, IL60137-7813
 Phone: 708-307-2103
 Fax: 630-376-6186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALA J ALBAZZAZ · (Male)

NPI Number 1134362833
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2009
Last updated 12/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.070551
  • IL License # 036070551
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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