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Individual Provider

GUY ABDERHOLDEN, MD

NPI 1902899792 Active Family Medicine
Quick Facts
NPI Number
1902899792
Type
Individual (NPI-1)
Credential
MD
Status
Active
Enumeration Date
2005-08-26
Last Updated (NPPES)
2021-12-10

Primary Specialty / Taxonomy

TaxonomyFamily Medicine
Taxonomy Code207Q00000X
License036-084853 IL

Other Taxonomies

  • Family Medicine — License 33453020

Practice Address

543 ORCHARD ST
ANTIOCH, IL 600023107

Phone: 847-395-3322

Fax: 847-395-0921

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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