Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAWDAT ABBOUD, MD
Active Sole ProprietorJAWDAT ABBOUD, MD is a Primary Care Clinic healthcare provider located in OAK BROOK, Illinois. NPI 1417964370 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · OAK BROOK, IL
Registration Details
- NPI Number
- 1417964370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.006135691146 yrs)
- Last Updated
- Sep 26, 2022
- License
-
036087208 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2425 W. 22ND ST. #205OAK BROOK, IL, 605231934Browse IL providers · Browse ZIP 60523
- Phone
- 6309741400
- Fax
- 1888466332
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.