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Individual

AMJAD MAHMOUD ABUALSUOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 589-2050
Mailing address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 589-2050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036156509
IL
207RC0000X
Cardiovascular Disease Physician
01082223A
IN
207RC0000X
Cardiovascular Disease Physician
036156509
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036156509
IL

Other

Enumeration date
07/11/2011
Last updated
02/15/2024
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