Individual provider · NPI-1

Mustafa Abdul-Hussein, MD

Internal Medicine, Gastroenterology · Mattoon, IL

NPI number1972759173
StatusActive
Last updated in NPPESOct 19, 2026

Details

NPI
1972759173
Entity type
Individual (NPI-1)
Name
Mustafa Abdul-Hussein
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 7, 2008
Certification date
Oct 19, 2026
Last updated
Oct 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology4301092311MIYes
207RI0008X Internal Medicine, Hepatology2OK
207RG0100X Internal Medicine, Gastroenterology1OK
207RG0100X Internal Medicine, Gastroenterology036-172374IL

Practice location

1000 Health Center Dr Ste 204
Mattoon, IL 61938-4644

Phone 217-258-4155 · Fax 217-258-2579

Mailing address

Po Box 372
Mattoon, IL 61938-0372

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine, Gastroenterology providers in Mattoon, IL