Individual provider · NPI-1

Jawdat Abboud, MD

Clinic/Center, Primary Care · Oak Brook, IL

NPI number1417964370
StatusActive
Last updated in NPPESSep 26, 2022

Details

NPI
1417964370
Entity type
Individual (NPI-1)
Name
Jawdat Abboud
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 2, 2006
Certification date
Sep 26, 2022
Last updated
Sep 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care036087208ILYes

Practice location

2425 W. 22nd St. #205
Oak Brook, IL 60523-1934

Phone 630-974-1400 · Fax 188-846-6332

Mailing address

2425 W.22nd Street #205
Oak Brook, IL 60523-1934

Phone 630-974-1400

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