HomeNPI Verification

NPI Verification

National Provider Identifier: 1639751456

Mutasem Ahmad Khaled Abuhalaweh, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1300 FRANKLIN AVE

NORMAL, IL 617613592

Phone: 708-580-9954

NPI Enumeration Date

April 21, 2021

NPI Number

1639751456

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry