Provider Demographics
NPI:1730530015
Name:ALALWEE, AZZA FARRAG (DPM)
Entity type:Individual
Prefix:DR
First Name:AZZA
Middle Name:FARRAG
Last Name:ALALWEE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:AZZA
Other - Middle Name:FARRAG
Other - Last Name:ALALWEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:2940 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8200
Mailing Address - Country:US
Mailing Address - Phone:210-383-3999
Mailing Address - Fax:
Practice Address - Street 1:2100 E LAKE COOK RD STE 1000
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1999
Practice Address - Country:US
Practice Address - Phone:210-383-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003943213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery