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Contact Information

AMJAD M ABUALSUOD, MD
5405 N KNOXVILLE AVE
PEORIA, IL61614-5016
 Phone: 309-589-2050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMJAD M ABUALSUOD · (Male)

NPI Number 1427346444
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2011
Last updated 02/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036156509
  • IN License # 01082223A
Hospital affiliation(s)
  • OSF HOLY FAMILY MEDICAL CENTER - (Critical Access)
    1000 W HARLEM AVENUE
    MONMOUTH, IL 61462
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
  • ST MARY MEDICAL CENTER - (Acute Care)
    3333 NORTH SEMINARY
    GALESBURG, IL 61401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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