Provider Demographics
NPI:1962498451
Name:ABELLA, DENNIS C (DO)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:ABELLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 BIESTERFIELD RD
Mailing Address - Street 2:STE 705A
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3361
Mailing Address - Country:US
Mailing Address - Phone:847-981-6061
Mailing Address - Fax:847-981-6062
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:STE 705A
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3361
Practice Address - Country:US
Practice Address - Phone:847-981-6061
Practice Address - Fax:847-981-6062
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-062694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD15707Medicare UPIN