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Mohamad Abdul-Maboud

Pharmacist in Streator, IL. Individual provider (NPI-1).

NPI number1093666844
StatusActive
Last updated in NPPESFeb 6, 2026

Details

NPI
1093666844
Entity type
Individual (NPI-1)
Name
Mohamad Abdul-Maboud
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 6, 2026
Certification date
Feb 6, 2026
Last updated
Feb 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.308047ILYes

Practice location

2415 N Bloomington St
Streator, IL 61364-1305

Phone 815-672-3071

Mailing address

2415 N Bloomington St
Streator, IL 61364-1305

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