Individual
TAHIR A ABBASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17680 KEDZIE AVE, SUITE 206, HAZEL CREST, IL 60429-2043
(708) 206-1090
(708) 460-9192
Mailing address
17680 KEDZIE AVE, SUITE 206, HAZEL CREST, IL 60429-2043
(708) 206-1090
(708) 460-9192
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036068401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001608454
BLUE CROSS/ BLUE SHIELD
IL
05
—
036068401
—
IL
01
—
060029163
RAIL ROAD MEDICARE
IL
01
—
364063266
BLUE CROSS BLUE SHIELD
IN
01
—
P00369878
RAIL ROAD MEDICARE
IN
Enumeration date
12/20/2006
Last updated
04/12/2008
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