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1245236884
NIDAL SHAWAHIN
BELLEVILLE, IL
NPI
1245236884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036087648)
Enumeration Date
2005-06-27
Last Update Date
2021-02-12
Business Address
NIDAL SHAWAHIN MD
4600 MEMORIAL DR STE. 360
BELLEVILLE, IL 62226-5368
Phone number: 618-222-7280
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Mailing Address
NIDAL SHAWAHIN MD
4600 MEMORIAL DR STE. 360
BELLEVILLE, IL 62226-5368
Phone number: 618-222-7280
Copy
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