DR. AHUAD L ABDALA


Address: 1824 W. 47th St., Chicago, IL 60609
Phone: 7733764040

DR. AHUAD L ABDALA (NPI# 1184837155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184837155
Entity Type Individual
Full Name DR. AHUAD L ABDALA
Credential M.D.
Practice Address 1824 W. 47th St.
Chicago
IL 60609
Mailing Address 6911 Concord Lane
Niles
IL 60714
Practice Telephone 7733764040
Practice Fax Number 7738901203
Mailing Telephone 7733764040
Mailing Fax Number 7738901203
Enumeration Date 2007-05-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 036056658 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1824 W. 47TH ST.
City CHICAGO
State IL
Zip Code 60609

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1497765168 Judith H Mcdevitt Nurse Practitioner 734 W. 47th Street, Ihc South, Chicago, IL 60609 2006-08-08
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1952809451 Josie M Abogast General Practice 3219 N. Clark St., Chicago, IL 60657 2018-01-30
1043759939 Royalty Intervention Group Inc General Practice 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 2017-02-13
1215482567 David John De Jong General Practice 226 W Willow St, Chicago, IL 60614-5716 2016-08-16
1720474885 Healthwise Medical Clinic LLC General Practice 8349 S Baltimore Ave, Chicago, IL 60617-2110 2015-04-15
1578952321 Joseph Lawrence Mcdevitt General Practice 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 2015-01-16
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Competitor

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City CHICAGO
Zip Code 60609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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