JALLWA MAHMOUD ODEH NP-C NPI 1598209041

NPI Information

NPI: 1598209041
Provider Name: JALLWA MAHMOUD ODEH, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WELLNOW URGENT CARE PC

PECOS Registration: Yes

Address:
4440 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-4888
Get Directions

Jallwa Mahmoud Odeh, NP-C is a family nurse practitioner in Oak Lawn, IL with 11 years of experience. Jallwa Mahmoud Odeh, NP-C NPI is 1598209041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4440 W 95TH ST
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 684-4888

The NPI 1598209041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2016 and was last updated on 12/16/2016.

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	363LF0000X	Nurse Practitioner	Family	209015181	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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