Individual
NABIL AL-SHARIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1414
(618) 529-4455
(618) 351-1287
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
(618) 529-0586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036087263
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
036.087263
IL
207RA0002X
Adult Congenital Heart Disease Physician
036.087263
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-087263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087263
—
IL
01
—
P00835872
RAILROAD
IL
Enumeration date
07/19/2006
Last updated
12/17/2019
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