MEDICARE: DR. FIDA ABUISNEINEH 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
1	208000000X	Pediatrics Physician	036-144289	IL

General Provider Information

NPI Number	:	1902210859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FIDA ABUISNEINEH M.D.

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-2600
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	4220 W 95TH ST
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2793
Country	:	US
Telephone Number	:	312-949-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	09/08/2023

Similar Medicare Providers

1609610302 — KIRTAN PATEL MD
Practice Location Address:

4220 W 95TH ST
OAK LAWN, IL
60453-2793

Practice Phone: 312-949-4200
Practice Fax:

1548246580 — MS. TRACY ANN BENKOWSKI MHS, P.T.
Practice Location Address:

4220 W 95TH ST , STE 100
OAK LAWN, IL
60453-2793

Practice Phone: 708-226-4431
Practice Fax:

1669541868 — SANDRA ANDERSON MD
Practice Location Address:

4220 W 95TH ST STE 210
OAK LAWN, IL
60453-2793

Practice Phone: 312-949-4200
Practice Fax: 708-423-1899

1558694059 — DR. JEREMY DWAINE DAIGLE M.D.
Practice Location Address:

4220 W 95TH ST STE 210
OAK LAWN, IL
60453-2793

Practice Phone: 312-949-4200
Practice Fax: 708-423-1899

1699009654 — DR. LEAH MARGARET VAN SLAMBROUCK M.D.
Practice Location Address:

4220 W 95TH ST STE 210
OAK LAWN, IL
60453-2793

Practice Phone: 312-949-4200
Practice Fax: 708-423-1899

1972993434 — CHRISTINE LEE APN, FNP-BC
Practice Location Address:

4220 W 95TH ST , SUITE 200
OAK LAWN, IL
60453-2793

Practice Phone: 708-876-1550
Practice Fax: 708-876-1551

Directions to “ DR. FIDA ABUISNEINEH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.