Individual provider · NPI-1
Misha Abbasi, MD
Hospitalist · Chicago, IL
NPI number1770111635
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1770111635
- Entity type
- Individual (NPI-1)
- Name
- Misha Abbasi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Jun 6, 2023
- Last updated
- Jul 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 036165608 | IL | Yes |
| 207R00000X | Internal Medicine | 125.075721 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
836 W Wellington AveChicago, IL 60657-5147
Phone 773-296-8230
Mailing address
2650 Ridge Ave.Im/Icu Hospitalists
Evanston, IL 60201
Phone 847-570-1010 · Fax 847-733-5108
Other practice locations
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