Provider Demographics
NPI:1235455866
Name:ABDUL-NABI, ANMAAR M (MD)
Entity Type:Individual
Prefix:
First Name:ANMAAR
Middle Name:M
Last Name:ABDUL-NABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 E ERIE ST
Mailing Address - Street 2:APT 5207
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4446
Mailing Address - Country:US
Mailing Address - Phone:312-731-0297
Mailing Address - Fax:
Practice Address - Street 1:441 E ERIE ST
Practice Address - Street 2:APT 5207
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4446
Practice Address - Country:US
Practice Address - Phone:312-731-0297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125056514207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology