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1457090789
ABUBAKER KALLAN
SPRINGFIELD, IL
NPI
1457090789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125080566)
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
ABUBAKER KALLAN MD
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702-4968
Phone number: 217-545-8000
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Mailing Address
ABUBAKER KALLAN MD
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-4735
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