Provider Demographics
NPI:1689652190
Name:NEHME, TAMMAM NAIM (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMMAM
Middle Name:NAIM
Last Name:NEHME
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:PO BOX 713260
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-1260
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:17495 LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-7581
Practice Address - Country:US
Practice Address - Phone:708-226-7050
Practice Address - Fax:708-226-7014
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000417272085R0202X
IL0361436462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA187243OtherL&I PROVIDER NUMBER
WA8374613Medicaid
WA8374613Medicaid
WAH81876Medicare UPIN
WA187243OtherL&I PROVIDER NUMBER