Organization
ABBASI M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIR A ABBASI M.D. (PRESIDENT)
(708) 206-1090
Entity
Organization
Contact information
Practice address
10639 GREAT EGRET DR, ORLAND PARK, IL 60467-8490
(708) 460-9192
(708) 310-4327
Mailing address
17680 KEDZIE AVE, 206, HAZEL CREST, IL 60429-2043
(708) 206-1090
(708) 310-4327
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036068401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068401
—
IL
Enumeration date
05/06/2008
Last updated
04/30/2013
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