Individual
MUSTAFA ABDUL-HUSSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HEALTH CENTER DR STE 204, MATTOON, IL 61938-4644
(217) 258-4155
(217) 258-2579
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092311
MI
207RG0100X
Gastroenterology Physician
Primary
036-172374
IL
207RG0100X
Gastroenterology Physician
1
OK
207RI0008X
Hepatology Physician
2
OK
Other
Enumeration date
08/07/2008
Last updated
12/18/2024
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