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Contact Information

SYED ABUTALIB
2900 W OKLAHOMA AVE
MILWAUKEE, WI53215-4330
 Phone: 414-649-6380
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SYED ABUTALIB · (Male)

NPI Number 1114183290
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2008
Last updated 09/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036118492
  • WI License # 101070
  • WI Medicaid 100256795
Hospital affiliation(s)
  • MIDWESTERN REGION MED CENTER - (Acute Care)
    2520 ELISHA AVENUE
    ZION, IL 60099
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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