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NPI Code Detail

MEDICARE: ABDULLAH ABDUSSALAM

MEDICARE: ABDULLAH ABDUSSALAM
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
1207RG0100XGastroenterology Physician036169814IL
2207RG0100XGastroenterology PhysicianS1745TX

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 : 1932442613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULLAH ABDUSSALAM
Provider Business Mailing Address
First Line : 1400 S MICHIGAN AVE APT 1203
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 RAND RD STE 120
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 312-767-3244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 04/08/2026

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