Healthcare Provider Details

I. General information

NPI: 1699207381
Provider Name (Legal Business Name): MAKAREM ABULIMON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 N RUTLEDGE ST STE 1700
SPRINGFIELD IL
62702-4968
US

IV. Provider business mailing address

PO BOX 19654
SPRINGFIELD IL
62794-9654
US

V. Phone/Fax

Practice location:
  • Phone: 217-545-8000
  • Fax: 217-545-9125
Mailing address:
  • Phone: 217-545-8000
  • Fax: 217-545-9125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35.146587
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35.146587
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: