Yasmin Samir Zaky Ali Abdelmawla

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wheaton, IL

NPI 1043942733 · NPPES record last updated Jun 30, 2022

Key facts

NPI
1043942733
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1737 S Naperville Rd Ste 206
Wheaton, IL 60189-5894
Phone
(630) 653-9700
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Professional Associates LTD Current
since Jul 3, 2022
Accepting new patients

Locations

1737 S Naperville Rd
Ste 206
Wheaton, IL 60189
Phone (630) 325-5300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1737 S Naperville Rd Ste 206
Wheaton, IL 60189-5894

Mailing address

1737 S Naperville Rd Ste 206
Wheaton, IL 60189-5894

Other providers in Wheaton, IL

All providers in Wheaton, IL · Student in an Organized Health Care Education/Training Program in Illinois

Sources for this page

Verify at the official NPI Registry.