Individual
MOHAMMED OMER AHMED ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 BUSSE HWY, PARK RIDGE, IL 60068-2302
(847) 759-4770
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2302
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.151221
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.151221
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.151221
IL
207RP1001X
Pulmonary Disease Physician
72553-20
WI
Other
Enumeration date
07/11/2016
Last updated
09/08/2023
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