Healthcare Provider Details

I. General information

NPI: 1992537708
Provider Name (Legal Business Name): ABCHILD PCP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E OGDEN AVE STE 204
HINSDALE IL
60521-3546
US

IV. Provider business mailing address

120 E OGDEN AVE STE 204
HINSDALE IL
60521-3546
US

V. Phone/Fax

Practice location:
  • Phone: 214-449-3159
  • Fax:
Mailing address:
  • Phone: 214-449-3159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ISSA ALHAMOUD
Title or Position: FOUNDER
Credential: MD
Phone: 214-449-3159