Individual provider · NPI-1

Shuja Abbas, DPM

Podiatrist, Foot & Ankle Surgery · Chicago, IL

NPI number1891375598
StatusActive
Last updated in NPPESFeb 18, 2025

Details

NPI
1891375598
Entity type
Individual (NPI-1)
Name
Shuja Abbas
Credential
DPM
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 8, 2021
Certification date
Feb 18, 2025
Last updated
Feb 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery016006083ILYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

5215 N California Ave Ste F605
Chicago, IL 60625-8564

Phone 847-390-7666

Mailing address

1660 Feehanville Dr Ste 100
Mount Prospect, IL 60056-6019

Phone 847-390-7666

Other practice locations

267 Grant St
Bridgeport, CT 06610-2805

Phone 203-384-3998

414 N Orleans St Ste 212
Chicago, IL 60654-4493

Phone 847-390-7666

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