JAWDAT ABBOUD MD, NPI 1417964370
Clinic/Center in OAK BROOK, IL
Last Updated on : Sep 26,2022
About JAWDAT ABBOUD (NPI 1417964370)
JAWDAT ABBOUD is a Clinic/Center provider in OAK BROOK, United States. His medical specialization is Clinic/Center with a focus in Primary Care.
1417964370 is NPI number of JAWDAT ABBOUD.
JAWDAT ABBOUD's primary taxonomy code based on NPI Lookup is 261QP2300X with license number 036087208. This taxonomy code refers to Clinic/Center.
JAWDAT ABBOUD has more than 16 years of experience.
JAWDAT ABBOUD current practice location address is 2425 W.22ND STREET #205, OAK BROOK, IL. JAWDAT ABBOUD can be reached out via phone at 630-974-1400 .
You can also correspond with JAWDAT ABBOUD through mail at mailing address 2425 W. 22ND ST. #205, OAK BROOK, IL, United States. Mailing address contact number is 630-974-1400.
The enumeration date of JAWDAT ABBOUD is 02-Aug-2006. The provider is registered as an Individual and the NPI record was last updated 1 years ago.1417964370 NPI Information
Basic NPI information of JAWDAT ABBOUD (NPI 1417964370) is provided below.
| Name | JAWDAT ABBOUD |
|---|---|
| National Provider Id (NPI) | 1417964370 |
| Entity Type | Individual |
| Gender | M |
| Credential | MD |
| Practice Address | 2425 W.22ND STREET #205,
OAK BROOK, IL, United States |
| Practice Telephone | 630-974-1400 |
| Practice Fax Number | |
| Mailing Address | 2425 W. 22ND ST. #205 ,
OAK BROOK, IL, United States |
| Mailing Telephone | 630-974-1400 |
| Mailing Fax Number | 188-846-6332 |
| Enumeration Date | 02-Aug-2006 |
| Last Updated Date | 26-Sep-2022 |
JAWDAT ABBOUD (NPI 1417964370) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 261QP2300X | Clinic/Center, Primary Care | 036087208 | IL |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036087208 | MEDICAID (05) | IL | |
| 45-4387283 | Other (non-Medicare) (01) | IL | Tax ID |
JAWDAT ABBOUD (NPI 1417964370) Office Location
Office location of JAWDAT ABBOUD is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1053597161 | 1800 MCDONOUGH ROAD SURGERY CENTER LLC | Clinic/Center, Ambulatory Surgical | 2607 W 22ND ST,
SUITE 48 OAK BROOK, IL, United States |
18-Jan-2008 |
| 1881140804 | 1920 MEDICAL CENTER | Pain Medicine, Pain Medicine | 1000 JORIE BLVD,
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30-Aug-2016 |
| 1467614081 | A & M MEDICAL SERVICE CO LTD | Pediatrics, Adolescent Medicine | 3525 CASS CT,
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25-Jun-2008 |
| 1699061713 | A BETTER TOMORROW: BEHAVIORAL HEALTH CARE CENTER, INC. | Social Worker, Clinical | 2625 BUTTERFIELD RD,
SUITE 138S OAK BROOK, IL, United States |
27-Jun-2011 |
| 1679795629 | A PLUS PSYCHOLOGICAL SERVICES AND TESTING | Psychologist, Clinical | 3 OAK BROOK CLUB DR,
E 302 OAK BROOK, IL, United States |
02-May-2007 |
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21-Jun-2007 |
| 1245283829 | AAT HOME HEALTHCARE, INC | Home Health | 2209B LAKESIDE DR,
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19-Mar-2019 |
| 1245636554 | ABBA CARE PROVIDERS, INC | In Home Supportive Care | 700 COMMERCE DR,
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13-Nov-2014 |
| 1104814755 | IFTIKHARUL H ABBASY | Surgery | PO BOX 3333,
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07-Oct-2005 |
| 1417964370 | JAWDAT ABBOUD | Clinic/Center, Primary Care | 2425 W.22ND STREET #205,
OAK BROOK, IL, United States |
02-Aug-2006 |
| 1790208197 | MELINDA MICHELLE ABBRING | Registered Nurse | 4320 FIR ST UNIT 417,
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| 1508904053 | MIRIAM ABEL | Social Worker, Clinical | 2907 BUTTERFIELD RD,
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04-Feb-2007 |
| 1386162337 | SHAWN ABRAHAM | Physical Therapist | 320 BUSSE HWY,
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30-Aug-2017 |
| 1336236157 | ANTONIO ABREGO | Anesthesiology | 4646 N MARINE DR,
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05-Oct-2006 |
| 1720407513 | AC MEDTRAN INC | Non-emergency Medical Transport (VAN) | 1100 JORIE BLVD STE 301,
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09-Apr-2014 |
| 1275928020 | ACCELERATED HEALTH SYSTEMS | Physical Therapist | 625 ENTERPRISE DR,
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30-Mar-2015 |
| 1801204045 | ACCELERATED REHABILIATION CENTERS LTD | Physical Therapist | 2 E MAIN ST,
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31-Jul-2014 |
| 1922545599 | ACCELERATED REHABILIATION CENTERS LTD | Physical Therapist | 625 ENTERPRISE DR,
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20-Jan-2017 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1417964370?1417964370 is the NPI number of JAWDAT ABBOUD.
What is the specialty for JAWDAT ABBOUD?The Specialty of JAWDAT ABBOUD is Clinic/Center.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|