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NPI Code Detail

MEDICARE: MUSBAH ABDI HASHI NP

MEDICARE: MUSBAH ABDI HASHI NP
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
1363LA2200XAdult Health Nurse Practitioner209.024978IL

General Provider Information

NPI Number : 1063150423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUSBAH ABDI HASHI NP
Provider Business Mailing Address
First Line : 333 E ONTARIO ST APT 3108
Second Line :
City : CHICAGO
State : IL
Zip : 60611-4884
Country : US
Telephone Number : 678-740-2020
Fax Number :
Provider Business Practice Location Address
First Line : 6303 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1203
Country : US
Telephone Number : 773-293-7599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2022
Last Update Date : 05/25/2022

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