Search › Illinois › 183500000X
Samir Elabbadi
NPI 1659956498 · on the registry since 2021 · sole proprietor
Practice
- Address
- 501 N Giant City Rd
Carbondale, IL 62902 - Phone
- (618) 457-5313
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-12
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