Provider Demographics
NPI:1386860559
Name:OKLEH, AKRAM (MD)
Entity Type:Individual
Prefix:
First Name:AKRAM
Middle Name:
Last Name:OKLEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 LAKEVIEW DR
Mailing Address - Street 2:#314
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4964
Mailing Address - Country:US
Mailing Address - Phone:630-910-7859
Mailing Address - Fax:630-910-0177
Practice Address - Street 1:1534 LAKEVIEW DR
Practice Address - Street 2:#314
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4964
Practice Address - Country:US
Practice Address - Phone:630-910-7859
Practice Address - Fax:630-910-0177
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20085207ZP0102X
IL207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV20085OtherMEDICAL LICENSE
BO9209479OtherDEA
L74142Medicare ID - Type Unspecified
WV20085OtherMEDICAL LICENSE