Search › Illinois › 207RP1001X
Omar Abdulfattah, MD
NPI 1205259330 · on the registry since 2014 · sole proprietor
Practice
- Address
- 751 N Rutledge St Ste 1700
Springfield, IL 62702 - Phone
- (217) 545-8000
- Fax
- (217) 545-3782
- Organisation at this address
- Siu Physicians & Surgeons, Inc
Board Of Trustees Of Southern Illinois UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 292
Additional practice sites
- 520 N 4th St, Springfield, IL
- 751 N Rutledge St Ste 1100, Springfield, IL
- 20733 N Broad St, Carlinville, IL
- 2 Memorial Dr Fl 1, Decatur, IL
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207RC0200X
207R00000X
207RS0012X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois