Abdullah Abdulwahid

Individual provider Active NPI Registered Dietitian · Plainfield, IL

NPI 1417880980 · NPPES record last updated Jun 4, 2026

Key facts

NPI
1417880980
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86436026 (IL)
Practice address
1900 Hampton CT
Plainfield, IL 60586-9793
Phone
(773) 706-3783
NPI assigned
Jun 4, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86436026ILMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86436026 IL Yes

Addresses

Primary practice location

1900 Hampton CT
Plainfield, IL 60586-9793

Mailing address

1900 Hampton CT
Plainfield, IL 60586-9793
Phone (773) 706-3783

Other providers in Plainfield, IL

All providers in Plainfield, IL · Registered Dietitian in Illinois

Sources for this page

Verify at the official NPI Registry.