HISHAM ALWAKKAA NPI 1477089969

NPI Information

NPI: 1477089969
Provider Name: HISHAM ALWAKKAA
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2521 CEDAR HILL LN
WOODRIDGE, IL
ZIP 60517
Phone: (203) 212-7241
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Hisham Alwakkaa is a diagnostic radiology radiology in Woodridge, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Hisham Alwakkaa NPI is 1477089969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2521 CEDAR HILL LN
WOODRIDGE, IL
ZIP 60517-273
Phone: (203) 212-7241

The NPI 1477089969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2017 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		70164	CONNECTICUT	No
2	2085R0202X	Radiology	Diagnostic Radiology	036163665	ILLINOIS	Yes
3	2085R0202X	Radiology	Diagnostic Radiology	163655	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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