Abboud, Jawdat

Abboud, Jawdat is an sole proprietor health care provider with primary practice located at 2425 W. 22Nd St. #205 , Oak Brook IL 60523-1934. He recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as his primary health care specialty. Abboud, Jawdat can be contacted via phone (630) 974-1400.

Contact Information

Primary practice address
2425 W. 22Nd St. #205 Oak Brook IL 60523-1934
Phone: (630) 974-1400
Fax: (188) 846-6332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036087208 Illinois

Profile Details

NPI number 1417964370
LBN Legal business name Abboud, Jawdat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Sep 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417964370 NPPES
Illinois MEDICAID 036087208
Illinois Other 45-4387283

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