Individual
ELENE M AWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
900 W TEMPLE AVE, EFFINGHAM, IL 62401-2121
(217) 347-0458
Mailing address
900 W TEMPLE AVE, EFFINGHAM, IL 62401-2121
(217) 347-0458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036081429
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081429
—
IL
Enumeration date
10/27/2005
Last updated
01/19/2022
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