Basic Information
| Provider Information | |||||||||
| NPI: | 1952751877 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABOUSAAD | ||||||||
| FirstName: | ELIAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2200 W HIGGINS RD STE 140 | ||||||||
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| City: | HOFFMAN ESTATES | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601692422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474661918 | ||||||||
| FaxNumber: | 8477815156 | ||||||||
| Practice Location | |||||||||
| Address1: | 1555 BARRINGTON RD | ||||||||
| Address2: | |||||||||
| City: | HOFFMAN ESTATES | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601691019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7738444269 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2016 | ||||||||
| LastUpdateDate: | 10/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 125.069094 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.