Individual
ABDULSALAM JAMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 MEMORIAL DR STE 200, BELLEVILLE, IL 62226-5363
(618) 233-2220
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036121797
IL
207RP1001X
Pulmonary Disease Physician
04-31034
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121797
—
IL
Enumeration date
11/21/2005
Last updated
06/24/2024
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