Yazen Joudeh Md Ltd
LBN: Yazen Joudeh Md Ltd
Yazen Joudeh Md Ltd is an health care organization with primary practice located at 16501 106Th Ct , Orland Park IL 60467-4545. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Yazen Joudeh Md Ltd can be contacted via phone (708) 904-4979, or through Joudeh, Yazen via phone (708) 904-4979.
Contact Information
Primary practice address
16501 106Th Ct
Orland Park IL 60467-4545
Phone: (708) 904-4979
Fax: (708) 407-9006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036124274 | Illinois |
Profile Details
| NPI number | 1669734802 |
|---|---|
| LBN Legal business name | Yazen Joudeh Md Ltd |
| DBA Doing business as | |
| Authorized official | Joudeh, Yazen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Oct 3rd, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669734802 | NPPES |
| Illinois | MEDICAID | 036124274 |
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