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1003815069
MAMDOUH H HASSABALLA
RIVERWOODS, IL
NPI
1003815069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: IL 036069096)
Enumeration Date
2005-07-20
Last Update Date
2015-12-16
Business Address
Dr. MAMDOUH H HASSABALLA M.D.
1105 MILWAUKEE AVE
RIVERWOODS, IL 60015-3512
Phone number: 847-325-5110
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Mailing Address
Dr. MAMDOUH H HASSABALLA M.D.
1105 MILWAUKEE AVE
RIVERWOODS, IL 60015-3512
Phone number: 847-325-5110
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