Provider Demographics
NPI:1336776954
Name:ALMUSADDY MEDICAL INC
Entity Type:Organization
Organization Name:ALMUSADDY MEDICAL INC
Other - Org Name:ALMUSADDY MEDICAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOUSAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMUSADDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-302-3660
Mailing Address - Street 1:6626 BENTLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-3807
Mailing Address - Country:US
Mailing Address - Phone:815-302-3660
Mailing Address - Fax:
Practice Address - Street 1:500 N MCLEAN BLVD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-3275
Practice Address - Country:US
Practice Address - Phone:815-302-3660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty