Individual
FIZAN ABDULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D63677
MD
2086S0120X
Pediatric Surgery Physician
Primary
036138914
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409107800
—
MD
Enumeration date
04/11/2006
Last updated
05/06/2021
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