Individual
ADEL A ABOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3311
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036133676
IL
390200000X
Student in an Organized Health Care Education/Training Program
125059830
IL
Other
Enumeration date
06/24/2011
Last updated
08/05/2014
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