Individual
DR. JOHN DANIEL ABAD
Active
Individual
DR. JOHN DANIEL ABAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036138955
IL
2086X0206X
Surgical Oncology Physician
01069731A
IN
2086X0206X
Surgical Oncology Physician
Primary
036138955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400250422
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/06/2008
Last updated
05/11/2017
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