Lyla H Azzam, DDS
Dentist in Glendale Heights, Illinois
1255968368- Practice location
- 1177 Bloomingdale RD Ste B, Glendale Heights, IL 60139-3402
- Phone
- 630-866-3000
- Fax
- —
- Last updated
- January 13, 2023
Lyla H Azzam is a Dentist based in Glendale Heights, IL. Lyla H Azzam practices in Glendale Heights, IL and has the professional credentials of DDS. The NPI Number for Lyla H Azzam is 1255968368 and holds a License No. 062029 (NY). The current practice location address for Lyla H Azzam is 1177 Bloomingdale RD Ste B, Glendale Heights, IL 60139-3402 and can be reached out via phone at 630-866-3000.
Provider Profile Details
- NPI Number
- 1255968368
- Provider Name
- Lyla H Azzam
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1177 Bloomingdale RD Ste B, Glendale Heights, IL 60139-3402
- Phone Number
- 630-866-3000
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 26, 2020
- Last Update Date
- January 13, 2023
- Certification Date
- January 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1177 Bloomingdale RD Ste B
Glendale Heights, IL 60139-3402 - City
- Glendale Heights
- State
- Illinois
- Zip
- 60139-3402
- Phone Number
- 630-866-3000
Provider Business Mailing Address Details
- Address
- 1177 Bloomingdale RD Ste B
Glendale Heights, IL 60139-3402 - City
- Glendale Heights
- State
- IL
- Zip
- 60139-3402
- Phone Number
- 630-866-6000
License Information
- License Number (1)
- 062029
- License State (1)
- NY
- Taxonomy (1)
- Dentist · 122300000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 019.033
- License State (3)
- IL
- Taxonomy (3)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Glendale Heights, IL
View all Dentists in Glendale Heights →Frequently Asked Questions
What is the NPI number of Lyla H Azzam, DDS?
The NPI number of Lyla H Azzam, DDS is 1255968368. It was assigned on March 26, 2020 and is currently active in the NPPES registry.
What is the specialty of Lyla H Azzam, DDS?
Lyla H Azzam, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 062029.
Where does Lyla H Azzam, DDS practice?
The practice location is 1177 Bloomingdale RD Ste B, Glendale Heights, IL 60139-3402. The office can be reached at 630-866-3000 (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 1255968368 directly on the NPPES registry website.