Active NPI
Mohamad Abdul-Maboud
- Pharmacist
- Streator, IL
National Provider Identifier
1093666844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.308047
- Practice address
- 2415 N Bloomington St
Streator, IL 61364-1305 - Phone
- (815) 672-3071
- NPI assigned
- Feb 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.308047 | IL | Primary |
Addresses
Primary practice location
2415 N Bloomington St
Streator, IL 61364-1305
Mailing address
2415 N Bloomington St
Streator, IL 61364-1305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.308047 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1093666844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 N BLOOMINGTON ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "613641305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 N BLOOMINGTON ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "613641305",
"telephone_number": "815-672-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDUL-MABOUD",
"first_name": "MOHAMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-06",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IL",
"license": "051.308047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streator, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.