NPI 1891375598 · live from the CMS NPI Registry
Shuja Abbas, DPM
Podiatrist, Foot & Ankle Surgery in Chicago, IL. National Provider Identifier 1891375598, active.
NPI record
| NPI | 1891375598 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5215 N California Ave Ste F605, Chicago, IL 60625 |
| Practice phone | 847-390-7666 |
| Mailing address | 1660 Feehanville Dr Ste 100, Mount Prospect, IL 60056 |
| Enumerated | April 8, 2021 |
| Last updated | February 18, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016006083 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.