Muaataz Azzawi

Individual provider Hepatology Physician · NPI 1124551577

Muaataz Azzawi is a Gastroenterology in Springfield, Illinois. Qualified in 2012, 14 years ago. Works from 2 locations. Licensed in Illinois and South Dakota.

Years since qualifying: 14
Licensed in: IL, SD
In the registry since: 2017
Specialties on file: 3

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Practice location Address checks out

315 W Carpenter St
Springfield, IL 62702-4901
Phone: (217) 545-8000

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

1205 S Grange Ave Ste 510, Sioux Falls, SD 57105-0410 — (605) 328-6585

Specialties & licences

Gastroenterology Physician (primary)	Taxonomy 207RG0100X · Licence 036.164467 (IL)
Hepatology Physician	Taxonomy 207RI0008X · Licence 422339 (SD)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1124551577
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	April 4, 2017
Last updated in NPPES	May 11, 2026
Certification date	May 11, 2026
Mailing address	Po Box 19639, Springfield, IL 62794-9639

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	GASTROENTEROLOGY
Medical school	OTHER
Graduated	2012 (14 years in practice)
Accepts Medicare assignment	Not indicated