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DIABETES OSTEOPOROSIS OBESITY INC NPI 1336329721


NPI Information

NPI: 1336329721
Provider Name: DIABETES OSTEOPOROSIS OBESITY INC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 14D0943913

Address:
1111 SUPERIOR STREET
SUITE 201
MELROSE PARK, IL
ZIP 60160
Phone: (708) 345-2211
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DIABETES OSTEOPOROSIS OBESITY INC is an endocrinology and diabetes and metabolism internal medicine in Melrose Park, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DIABETES OSTEOPOROSIS OBESITY INC NPI is 1336329721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 SUPERIOR STREET
SUITE 201
MELROSE PARK, IL
ZIP 60160
Phone: (708) 345-2211
Fax: (708) 345-2224

The provider's authorized official is Maha Abboud .
The authorized official title is Md Owner and has the following contact phone number (708) 345-2211.

The CLIA number assigned to this NPI record is 14D0943913 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G35039MEDICARE UPINILLINOIS
2212088MEDICARE PINILLINOIS
3212089MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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