Individual
DR. SAMIR FARES ABDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1306 MAPLE ST., ELDORADO, IL 62930-1634
(618) 297-9609
(618) 273-2504
Mailing address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 252-2540
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36063628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360636282
—
IL
Enumeration date
01/09/2007
Last updated
01/30/2015
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