Individual
DR. WALID F ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036151436
IL
207W00000X
Ophthalmology Physician
A146829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871912717
—
WI
Enumeration date
04/08/2014
Last updated
11/03/2020
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