NPI 1760020739 · live from the CMS NPI Registry
Matilda Marta Abu-Saba, MD
Internal Medicine in Rockford, IL. National Provider Identifier 1760020739, active.
NPI record
| NPI | 1760020739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 5970 Churchview Dr, Rockford, IL 61107 |
| Practice phone | 815-971-8990 |
| Mailing address | 12409 Clark St Apt 201, Carmel, IN 46032 |
| Enumerated | December 20, 2019 |
| Last updated | September 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine primary | 207R00000X | 036164993 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.