Basic Information
| Provider Information | |||||||||
| NPI: | 1912279050 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | UNITED ELITE HOSPITALISTS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12632 S HARLEM AVE | ||||||||
| Address2: | |||||||||
| City: | PALOS HEIGHTS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604631428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7085870000 | ||||||||
| FaxNumber: | 7086237628 | ||||||||
| Practice Location | |||||||||
| Address1: | 12632 S HARLEM AVE | ||||||||
| Address2: | |||||||||
| City: | PALOS HEIGHTS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604631428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7085870000 | ||||||||
| FaxNumber: | 7086237628 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2012 | ||||||||
| LastUpdateDate: | 02/28/2018 | ||||||||
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| AuthorizedOfficialLastName: | ALMASRI | ||||||||
| AuthorizedOfficialFirstName: | HUSSAM | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHAIRMAN & CEO | ||||||||
| AuthorizedOfficialTelephone: | 7085870000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 036117619 | IL | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.