Individual
MUAATAZ AZZAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W CARPENTER ST, SPRINGFIELD, IL 62702-4901
(217) 545-8000
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036.164467
IL
207RI0008X
Hepatology Physician
422339
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
05/11/2026
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