Individual provider · NPI-1

Dr. Monzer Omer Abdalla Abdalla, MD

Internal Medicine · Evanston, IL

NPI number1235805169
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1235805169
Entity type
Individual (NPI-1)
Name
Dr. Monzer Omer Abdalla Abdalla
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2021
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine125.078288ILYes

Practice location

355 Ridge Ave
Evanston, IL 60202-3328

Phone 847-316-6228

Mailing address

907 Austin St # 2
Evanston, IL 60202-3435

Phone 872-985-5794

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