Matilda Marta Abu-Saba, MD
Internal Medicine in Rockford, IL. Individual provider (NPI-1).
NPI number1760020739
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1760020739
- Entity type
- Individual (NPI-1)
- Name
- Matilda Marta Abu-Saba
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2019
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036164993 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5970 Churchview DrRockford, IL 61107-2574
Phone 815-971-8990 · Fax 815-971-9978
Mailing address
12409 Clark St Apt 201Carmel, IN 46032-7685
Phone 407-920-6688
Other practice locations
12409 Clark St Apt 201
Carmel, IN 46032-7685
Carmel, IN 46032-7685
Phone 407-920-6688
8201 E Riverside Blvd
Rockford, IL 61114-2300
Rockford, IL 61114-2300
Phone 815-971-7000
2400 N Rockton Ave
Rockford, IL 61103-3655
Rockford, IL 61103-3655
Phone 815-971-5000
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