Individual provider · NPI-1

Dr. Mohammad Ali Abbass, MD

Colon & Rectal Surgery · Chicago, IL

NPI number1730508052

StatusActive

Last updated in NPPESOct 7, 2020

Details

NPI: 1730508052
Entity type: Individual (NPI-1)
Name: Dr. Mohammad Ali Abbass
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 15, 2014
Certification date: Oct 7, 2020
Last updated: Oct 7, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208C00000X	Colon & Rectal Surgery	036153116	IL	Yes
208600000X	Surgery	35.133719	OH

Practice location

259 E Erie St Ste 1600
Chicago, IL 60611-3111

Phone 312-695-5620 · Fax 312-695-2729

Mailing address

259 E Erie St Ste 1600
Chicago, IL 60611-3111

Phone 312-695-5620 · Fax 312-695-2729

Other practice locations

9500 Euclid Ave
Cleveland, OH 44195-0001

Phone 818-416-1777 · Fax 216-444-1162

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