Individual
DR. PAMELA TADAYYON ABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052509
IL
208M00000X
Hospitalist Physician
Primary
036124569
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124569
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147102
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RAILROAD MEDICARE PTAN (GROUP)
IL
01
—
P01089928
RAILROAD MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
08/02/2008
Last updated
01/18/2018
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