Zainab Abdullah, M.D.

Individual provider Active NPI Pediatrics Physician · Chicago, IL

NPI 1356579650 · NPPES record last updated Jan 15, 2022

Key facts

NPI
1356579650
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
036.130808 (IL)
Practice address
654 E 47TH St
Chicago, IL 60653-4224
Phone
(773) 624-4800
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.130808ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Neonatal Associates, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.130808 IL Yes

Addresses

Primary practice location

654 E 47TH St
Chicago, IL 60653-4224

Mailing address

8350 Richmond Hwy Ste 233
Alexandria, VA 22309-2344

Other providers in Chicago, IL

All providers in Chicago, IL · Pediatrics Physician in Illinois

Sources for this page

Verify at the official NPI Registry.