NPI 1013657816

Abdallah Shkoukani, MD

Practitioner Surgery Physician Maywood, IL

Practice location

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: (708) 327-3042
Fax: (708) 327-3489
Mailing address: 2160 S 1st Ave Bldg Dept, Maywood, IL 60153-3328

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 125.083030 (IL)

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Registry record

NPI: 1013657816
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2022
Record last updated: 10 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.