Individual
SYED ABUTALIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6380
Mailing address
2361 PAYSPHERE CIR, CHICAGO, IL 60674-0023
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
101070
WI
207RX0202X
Medical Oncology Physician
036118492
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256795
—
WI
Enumeration date
07/29/2008
Last updated
09/27/2024
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