Individual
WOROOD ABBOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2614 W. JEFFERSON ST, JOLIET, IL 60435
(815) 725-1355
(815) 725-9857
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036-103016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103016
—
IL
01
—
K30830
MEDICARE INDIV ID# FOR GROUP 336140
IL
01
—
K30831
MEDICARE ID# FOR GROUP 205474
IL
01
—
K30832
MEDICARE INDIV ID# FOR GROUP 208256
IL
01
—
P00371773
MEDICARE RR
IL
Enumeration date
10/04/2006
Last updated
08/02/2023
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