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Contact Information

FIDA ABDELRASOUL, LSW
505 W UNIVERSITY AVE STE 211
CHAMPAIGN, IL61820-3915
 Phone: 224-338-7754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for FIDA ABDELRASOUL · (Female)

NPI # 1669021010
Status Active
Credentials LSW (Licensed Social Workers)
Entity Individual
Enumeration date 09/09/2019
Last updated 09/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 150.103891
Hospital affiliation(s) Not Available
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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