- Practice location
- 2903 Rushford CT, Peoria, IL 61614-1145
- Phone
- 309-265-6488
- Fax
- —
- Last updated
- December 20, 2024
Melia Julia Abou-Hanna is a Dentist, General Practice based in Peoria, IL. Melia Julia Abou-Hanna practices in Peoria, IL and has the professional credentials of DDS. The NPI Number for Melia Julia Abou-Hanna is 1083300552 and holds a License No. 22D103021000 (NJ). The current practice location address for Melia Julia Abou-Hanna is 2903 Rushford CT, Peoria, IL 61614-1145 and can be reached out via phone at 309-265-6488.
Provider Profile Details
- NPI Number
- 1083300552
- Provider Name
- Melia Julia Abou-Hanna
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2903 Rushford CT, Peoria, IL 61614-1145
- Phone Number
- 309-265-6488
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 17, 2023
- Last Update Date
- December 20, 2024
- Certification Date
- December 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2903 Rushford CT
Peoria, IL 61614-1145 - City
- Peoria
- State
- Illinois
- Zip
- 61614-1145
- Phone Number
- 309-265-6488
Provider Business Mailing Address Details
- Address
- 625 W 57TH St Apt 1419
New York, NY 10019-2663 - City
- New York
- State
- NY
- Zip
- 10019-2663
- Phone Number
- 309-265-6488
License Information
- License Number (1)
- 22D103021000
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (2)
- 064075
- License State (2)
- NY
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Peoria, IL
View all Dentist, General Practice providers in Peoria →Frequently Asked Questions
What is the NPI number of Dr. Melia J Abou-Hanna, DDS?
The NPI number of Dr. Melia J Abou-Hanna, DDS is 1083300552. It was assigned on April 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Melia J Abou-Hanna, DDS?
Dr. Melia J Abou-Hanna, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D103021000.
Where does Dr. Melia J Abou-Hanna, DDS practice?
The practice location is 2903 Rushford CT, Peoria, IL 61614-1145. The office can be reached at 309-265-6488 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083300552 directly on the NPPES registry website.