Provider Demographics
NPI:1811250681
Name:AL-BANA, NAGHAM A (MD)
Entity type:Individual
Prefix:
First Name:NAGHAM
Middle Name:A
Last Name:AL-BANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-570-2040
Mailing Address - Fax:847-570-5315
Practice Address - Street 1:1885 SHERMER RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5317
Practice Address - Country:US
Practice Address - Phone:847-272-4600
Practice Address - Fax:847-272-4655
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2025-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036136423207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILRES000Medicare UPIN