Al-Shraideh, Yousef Sadeq

Al-Shraideh, Yousef Sadeq is an individual health care provider with primary practice located at 1001 Main St Ste 400 , Peoria IL 61606-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Al-Shraideh, Yousef Sadeq can be contacted via phone (309) 308-0920.

Contact Information

Primary practice address
1001 Main St Ste 400 Peoria IL 61606-2036
Phone: (309) 308-0920
Fax: (309) 308-0930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2012-0604 North Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 2012-0904 North Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 036136798 Illinois

Profile Details

NPI number 1184989915
LBN Legal business name Al-Shraideh, Yousef Sadeq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Feb 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184989915 NPPES
Illinois MEDICAID 036136798
Illinois MEDICAID 5921030

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