Provider Demographics
NPI:1659558666
Name:MEKHAIEL, ESSAM FATHY (MD)
Entity Type:Individual
Prefix:DR
First Name:ESSAM
Middle Name:FATHY
Last Name:MEKHAIEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10604 SOUTHWEST HIGHWAY
Mailing Address - Street 2:STE 107
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2717
Mailing Address - Country:US
Mailing Address - Phone:708-371-8006
Mailing Address - Fax:708-389-6630
Practice Address - Street 1:10604 SOUTHWEST HIGHWAY
Practice Address - Street 2:STE 107
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-2717
Practice Address - Country:US
Practice Address - Phone:708-371-8006
Practice Address - Fax:708-389-6630
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2018-06-07
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Provider Licenses
StateLicense IDTaxonomies
MO2013022885207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease