Individual
ABANOUB ABRAHAM AWADALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6097
Mailing address
6340 AMERICANA DR APT 120, WILLOWBROOK, IL 60527-2244
(360) 224-3804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.085361
IL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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