Maysoon Al-Naqeeb, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Palos Heights, IL

NPI 1174558282 · NPPES record last updated Feb 20, 2014

Key facts

NPI
1174558282
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
036045134 (IL)
Practice address
12255 S 80TH Ave
Ste 201
Palos Heights, IL 60463-1270
Phone
(708) 923-7801
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036045134 IL Yes

Addresses

Primary practice location

12255 S 80TH Ave
Ste 201
Palos Heights, IL 60463-1270

Mailing address

PO Box 369
New Lenox, IL 60451-0369
Phone (815) 463-0098

Other identifiers

IdentifierTypeStateIssuer
K31752OtherILPTAN
363098432MedicaidIL

Other providers in Palos Heights, IL

All providers in Palos Heights, IL · Obstetrics & Gynecology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.