Provider Demographics
NPI:1265043079
Name:ABDELJABER, ALA JAMAL
Entity type:Individual
Prefix:
First Name:ALA
Middle Name:JAMAL
Last Name:ABDELJABER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 W ELM CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8598
Mailing Address - Country:US
Mailing Address - Phone:414-209-2352
Mailing Address - Fax:
Practice Address - Street 1:930 NEW YORK ST
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-2722
Practice Address - Country:US
Practice Address - Phone:414-209-2352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist