Abdo, Samir Fares
Abdo, Samir Fares is an individual health care provider with primary practice located at 1306 Maple St. , Eldorado IL 62930-1634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Abdo, Samir Fares can be contacted via phone (618) 297-9609.Contact Information
Primary practice address
1306 Maple St.
Eldorado IL 62930-1634
Phone: (618) 297-9609
Fax: (618) 273-2504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36063628 | Illinois |
Profile Details
| NPI number | 1578612982 |
|---|---|
| LBN Legal business name | Abdo, Samir Fares |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jan 30th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578612982 | NPPES |
| Illinois | MEDICAID | 0360636282 |
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