Individual
DR. ABDI Y TINWALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RR1, BOX, HORNEY ROAD AND COUNTY FARM ROAD, RUSHVILLE, IL 62681
(217) 322-3204
Mailing address
1016 VICTORIA LN, GLENDALE HEIGHTS, IL 60139-4508
(630) 469-9842
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
36109969
IL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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