Active NPIIndividual provider

Dr. Russul Abbas, OD

Optometrist in Gurnee, Illinois

NPI Number1285129007
Practice location
48 S Greenleaf St, Gurnee, IL 60031-3300
Fax
—
Last updated
September 5, 2019

Dr. Russul Abbas, OD is a Optometrist based in Gurnee, IL. Dr. Russul Abbas, OD holds the professional credentials of OD. The NPI number for Dr. Russul Abbas, OD is 1285129007 and holds license No. 046.011371 (IL). The current practice location address is 48 S Greenleaf St, Gurnee, IL 60031-3300 and the office can be reached by phone at 847-662-4016. The NPI was assigned on June 25, 2018 and the record was last updated in NPPES on September 5, 2019.

●Provider Profile Details

NPI Number
1285129007
Provider Name
Russul Abbas
Credential
OD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Enumeration Date
June 25, 2018
Last Update Date
September 5, 2019
NPI Status
Active

◉Business Practice Location Address

Address
48 S Greenleaf St
Gurnee, IL 60031-3300
City
Gurnee
ZIP
60031-3300
Country
US
Phone Number
847-662-4016

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✉Business Mailing Address

Address
3450 N Lake Shore Dr Apt 3101
Chicago, IL 60657-2863
City
Chicago
State
IL
ZIP
60657-2863
Phone Number
352-870-3824

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Optometrist152W00000XYes046.011371IL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Russul Abbas, OD?

The NPI number of Dr. Russul Abbas, OD is 1285129007. It was assigned on June 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Russul Abbas, OD?

Dr. Russul Abbas, OD is registered under the primary taxonomy Optometrist (code 152W00000X) and holds license No. 046.011371 (IL).

Where does Dr. Russul Abbas, OD practice?

The practice location is 48 S Greenleaf St, Gurnee, IL 60031-3300. The office can be reached at 847-662-4016 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285129007 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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