Provider Demographics
NPI:1326875899
Name:AWUDU, ABALUS AMADOU
Entity type:Individual
Prefix:
First Name:ABALUS
Middle Name:AMADOU
Last Name:AWUDU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-4062
Mailing Address - Country:US
Mailing Address - Phone:630-229-1681
Mailing Address - Fax:
Practice Address - Street 1:860 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-4062
Practice Address - Country:US
Practice Address - Phone:630-229-1681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)