Provider Demographics
NPI:1952081101
Name:ALAMMAR, HAJAR (MBBS)
Entity Type:Individual
Prefix:DR
First Name:HAJAR
Middle Name:
Last Name:ALAMMAR
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:HAJAR
Other - Middle Name:ABDULLAH M
Other - Last Name:ALAMMAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BIRTH FULL NAME
Mailing Address - Street 1:409 W GREEN ST APT 6
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-5089
Mailing Address - Country:US
Mailing Address - Phone:224-465-2665
Mailing Address - Fax:
Practice Address - Street 1:611 W PARK ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-2529
Practice Address - Country:US
Practice Address - Phone:224-465-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.0826742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology