Individual
ABDULLATIF ABDALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 W LAKESIDE PL, APT # 1401, CHICAGO, IL 60640-5175
(773) 407-1799
Mailing address
920 W LAKESIDE PL, APT # 1401, CHICAGO, IL 60640-5175
(773) 407-1799
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
81-3508998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-3508998
NONE EMERGENCY TRANSPORTATION
IL
Enumeration date
08/11/2016
Last updated
08/11/2016
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