Individual ProviderEmad AllamRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Maywood, IL 60153-3328(708) 216-5306PECOS EnrollmentBased on the most recent information from CMS, provider Emad Allam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1649566480Provider TypeIndividualFull NameAllam, EmadTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date6/20/2011Last Updated10/25/2020Contact InformationPractice LocationPractice Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-5306FaxUnlisted FaxMailing LocationMailing Address2160 S 1st Ave, Maywood, IL 60153-3328PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense036.150084IllinoisCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense75363GeorgiaCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2011016825Missouri