1447283593 NPI number — DR. HATEM HALABI MD

Table of content: DR. HATEM HALABI MD (NPI 1447283593)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447283593 NPI number — DR. HATEM HALABI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALABI
Provider First Name:
HATEM
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
EL HALABI
Provider Other First Name:
HATEM
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1447283593
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/17/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CANCER TREATMENT CENTERS OF AMERICA
Provider Second Line Business Mailing Address:
2361 PAYSPHERE CIRCLE
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60674
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-322-9183
Provider Business Mailing Address Fax Number:
847-872-6419

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CANCER TREATMENT CENTERS OF AMERICA
Provider Second Line Business Practice Location Address:
2520 ELISHA AVENUE
Provider Business Practice Location Address City Name:
ZION
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-322-9183
Provider Business Practice Location Address Fax Number:
847-746-4358
Provider Enumeration Date:
07/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  TP486 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 40204 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 036.135022 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)