Mctabi, Wael

Mctabi, Wael is an individual health care provider with primary practice located at 1719 Glenwood Ave , Joliet IL 60435-5835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mctabi, Wael can be contacted via phone (815) 741-3532.

Contact Information

Primary practice address
1719 Glenwood Ave Joliet IL 60435-5835
Phone: (815) 741-3532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-081517 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-081517 Illinois

Profile Details

NPI number 1144269093
LBN Legal business name Mctabi, Wael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144269093 NPPES
Indiana MEDICAID 01039386A
Indiana MEDICAID 036081517

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