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AIMEN F SHAABAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
225 E CHICAGO AVE # 92, CHICAGO, IL 60611-2991
(321) 227-4747
(312) 227-9670

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
37731
IA
208600000X
Surgery Physician
44528
WI
2086S0120X
Pediatric Surgery Physician
Primary
036142403
IL
2086S0120X
Pediatric Surgery Physician
35.120176
OH
2086S0120X
Pediatric Surgery Physician
37731
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076625
OH
05
200969860
IN
05
3810025105
WV
01
72299
WELLMARK BCBS
IA
Enumeration date
04/12/2006
Last updated
10/12/2023
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