NPI

Amjad Mahmoud Abualsuod

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2011-07-11
Last updated
2024-02-15

Specialties

Licenses

License IN
01082223A
License IL
036156509
License IL
036156509
License IL
036156509

Location

Practice location
5405 N Knoxville Ave
City
Peoria IL
Postal code
61614-5016
Phone
(309) 589-2050

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Peoria, IL. 5,531 records in the public file.

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