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Individual

DR. ABDULLAH ALTAYEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2350 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
2350 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3619
(815) 971-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-112478
IL
207R00000X
Internal Medicine Physician
036112478
IL
207R00000X
Internal Medicine Physician
104298
MN
207R00000X
Internal Medicine Physician
22594
WV
207R00000X
Internal Medicine Physician
52143
MN
207RP1001X
Pulmonary Disease Physician
Primary
036112478
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000270600
OH
05
036-112478-1
IL
05
2932518
OH
05
ENROLLED
MN
Enumeration date
08/12/2005
Last updated
03/09/2011
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