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NPI Code Detail

MEDICARE: ELIZABETH A AL ABBADI PA

MEDICARE: ELIZABETH A AL ABBADI PA
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
1363A00000XPhysician Assistant085010196IL

General Provider Information

NPI Number : 1497395172
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A AL ABBADI PA
Provider Business Mailing Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number : 630-978-3800
Fax Number : 630-862-3085
Provider Business Practice Location Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number : 630-978-3800
Fax Number : 630-862-3085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 03/16/2026

Similar Medicare Providers

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1831185859 — DAVID JAY MAASKE P.T.
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1700861408 — DR. SCOTT M O'CONNOR M.D.
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Practice Fax: 630-862-3085

Directions to “ ELIZABETH A AL ABBADI PA” Practice Location

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