Diabetes Osteoporosis Obesity Inc | |
1111 Superior Street Suite 201 Melrose Park IL 60160 | |
(708) 345-2211 | |
(708) 345-2224 |
Full Name | Diabetes Osteoporosis Obesity Inc |
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Speciality | Internal Medicine |
Location | 1111 Superior Street, Melrose Park, Illinois |
Authorized Official Name and Position | Maha Abboud (MD OWNER) |
Authorized Official Contact | 7083452211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diabetes Osteoporosis Obesity Inc Po Box 1053 Maywood IL 60153 Ph: (708) 345-2211 | Diabetes Osteoporosis Obesity Inc 1111 Superior Street Suite 201 Melrose Park IL 60160 Ph: (708) 345-2211 |
NPI Number | 1336329721 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 11/14/2007 |
Medicare PECOS PAC ID | 8224068002 |
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Medicare Enrollment ID | O20050822000531 |
Identifier | Type | State | Issuer |
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1336329721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Illinois) | Primary |
Provider Name | Maha Abboud |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1346208956 PECOS PAC ID: 8022048800 Enrollment ID: I20050823000055 |
Provider Name | Terri Washington |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1114120722 PECOS PAC ID: 5092849612 Enrollment ID: I20100818001039 |
Provider Name | Rosario Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699236414 PECOS PAC ID: 3375886658 Enrollment ID: I20190530001825 |
Provider Name | Robyn Mulvihill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740651611 PECOS PAC ID: 2466729439 Enrollment ID: I20221205001706 |
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