Provider Demographics
NPI:1801358262
Name:GABR, AMR A
Entity Type:Individual
Prefix:
First Name:AMR
Middle Name:A
Last Name:GABR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 S 79TH AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2378
Mailing Address - Country:US
Mailing Address - Phone:630-644-8366
Mailing Address - Fax:708-634-2760
Practice Address - Street 1:9525 S 79TH AVE STE 208
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2378
Practice Address - Country:US
Practice Address - Phone:630-644-8366
Practice Address - Fax:708-634-2760
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)