Provider Demographics
NPI:1376189456
Name:AL NAHHAS, NADA
Entity Type:Individual
Prefix:
First Name:NADA
Middle Name:
Last Name:AL NAHHAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9126 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2048
Mailing Address - Country:US
Mailing Address - Phone:224-619-0983
Mailing Address - Fax:
Practice Address - Street 1:9126 MARION AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2048
Practice Address - Country:US
Practice Address - Phone:224-619-0983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter