Abubaker Kallan, MD
Internal Medicine in Springfield, IL. Individual provider (NPI-1).
NPI number1457090789
StatusActive
Last updated in NPPESJun 3, 2022
Details
- NPI
- 1457090789
- Entity type
- Individual (NPI-1)
- Name
- Abubaker Kallan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2022
- Certification date
- Jun 3, 2022
- Last updated
- Jun 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 125080566 | IL | Yes |
Practice location
751 N Rutledge St Rm 1100Springfield, IL 62702-4968
Phone 217-545-8000 · Fax 217-545-4735
Mailing address
Po Box 19636Springfield, IL 62794-9636
Phone 217-545-4735 · Fax 217-545-4735
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