Abanoub, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ABANOUB, LLC

Practice address

60 Orland Square Dr
Suite 103
Orland Park, IL 60462-6522

Phone

(708) 963-0063

Fax

(708) 294-8248

NPI assigned

Apr 11, 2017

Last updated

Apr 11, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosa Robles

Title

Office Manager

Phone

(630) 550-9952

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Shehata Hana

  • Pain Medicine (Anesthesiology) Physician
  • Orland Park, IL
  • NPI 1831482769
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1891228318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR",
            "address_2": "SUITE 103",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626522",
            "telephone_number": "708-963-0063",
            "fax_number": "708-294-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR",
            "address_2": "SUITE 103",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626522",
            "telephone_number": "708-963-0063",
            "fax_number": "708-294-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABANOUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-550-9952"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.