Provider Demographics
NPI:1851367353
Name:SHALTOONI, ABDELKARIM S (MD)
Entity type:Individual
Prefix:
First Name:ABDELKARIM
Middle Name:S
Last Name:SHALTOONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 NORTH BARRINGTON RD
Mailing Address - Street 2:STE 505
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60194
Mailing Address - Country:US
Mailing Address - Phone:847-839-7522
Mailing Address - Fax:847-884-3659
Practice Address - Street 1:1585 NORTH BARRINGTON RD
Practice Address - Street 2:STE 505
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194
Practice Address - Country:US
Practice Address - Phone:847-839-7522
Practice Address - Fax:847-884-3659
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F88542Medicare UPIN