# ANDREW ABATIELL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235550567
- **Authorized official:** ANDREW ABATIELL MD (OWNER)
- **Authorized official phone:** (248) 830-5545

## Contact information

- **Practice address:** 520 VALLEY VIEW DR, MOLINE, IL 61265-6152
- **Practice address phone:** (847) 615-2200
- **Mailing address:** PO BOX 689, LAKE FOREST, IL 60045-0689
- **Mailing address phone:** (248) 830-5545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036134074 | IL | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 01/06/2014
