Individual
DR. FADI ANNABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-104248
IL
207RG0100X
Gastroenterology Physician
Primary
036104248
IL
Other
Enumeration date
07/07/2006
Last updated
05/20/2020
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