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NPI Code Detail

MEDICARE: DR. WA'EL M ABDO M.D.

MEDICARE: DR. WA'EL M ABDO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036116241IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740284074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WA'EL M ABDO M.D.
Provider Business Mailing Address
First Line : 3333 WARRENVILLE RD STE 200
Second Line :
City : LISLE
State : IL
Zip : 60532-1999
Country : US
Telephone Number : 708-274-7333
Fax Number : 815-717-7484
Provider Business Practice Location Address
First Line : 3333 WARRENVILLE RD STE 200
Second Line :
City : LISLE
State : IL
Zip : 60532-1999
Country : US
Telephone Number : 866-653-6279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/14/2025

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