Basic Information
| Provider Information | |||||||||
| NPI: | 1609989813 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HABHAB | ||||||||
| FirstName: | OSCAR | ||||||||
| MiddleName: | H | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2326 FAIRVIEW AVE | ||||||||
| Address2: | |||||||||
| City: | JOHNSBURG | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600502542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8153858972 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4201 W MEDICAL CENTER DR | ||||||||
| Address2: | |||||||||
| City: | MCHENRY | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600508409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8157593100 | ||||||||
| FaxNumber: | 8153639044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | IL | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.