Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISSA ABEDMAHMOUD, MD
Active Sole ProprietorEndocrinology, Diabetes & Metabolism · HERRIN, IL
Registration Details
- NPI Number
- 1528042975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2005 (20.388696125143 yrs)
- Last Updated
- Nov 18, 2008
- License
-
036097793 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3020 S PARK AVEHERRIN, IL, 629483721Browse IL providers · Browse ZIP 62948
- Phone
- 6189881877
- Fax
- 6189888578
- Primary Specialty
-
Endocrinology, Diabetes & Metabolism
207RE0101X
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.