| Doctor Name: | JAWDAT ABBOUD |
| NPI Number: | 1417964370 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036087208 |
| Business Practice Address: | 10506 S Roberts Rd Palos Hills, IL - 604651934 |
| Business Phone Number: | 7089744270 |
| Business Fax Number: | 1888466332 |
| Mailing Address: | 2425 W.22nd Street #216, OAKBROOK |
| State: | IL |
| Postal Code: | 605231934 |
| Phone Number: | 7089744270 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 05/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 036087208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |