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1417992520
SHADI ADEL ALTWAL
BELLEVILLE, IL
NPI
1417992520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: IL 036-112737)
Enumeration Date
2006-06-20
Last Update Date
2021-01-29
Business Address
Dr. SHADI ADEL ALTWAL M.D.
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Phone number: 618-257-6220
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Mailing Address
Dr. SHADI ADEL ALTWAL M.D.
4500 MEMORIAL DR
BELLEVILLE, IL 62226-5360
Phone number: 618-257-6220
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