Individual
MAHA ABBOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD FACE
Contact information
Practice address
1835 N 19TH AVE, SUITE 206, MELROSE PARK, IL 60160-2040
(708) 345-2211
(708) 345-2224
Mailing address
PO BOX 1053, MAYWOOD, IL 60153
(708) 345-2211
(708) 345-2224
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036086473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086473
—
IL
Enumeration date
05/03/2006
Last updated
10/31/2011
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