Khaled Abughazaleh, BDS, DMD
Oral & Maxillofacial Surgery in Chicago, Illinois
1295840304- Practice location
- 65 E Scott St Apt 9A, Chicago, IL 60610-5274
- Phone
- 312-498-1588
- Fax
- —
- Last updated
- July 8, 2007
Khaled Abughazaleh, BDS, DMD is a Oral & Maxillofacial Surgery based in Chicago, IL. Khaled Abughazaleh, BDS, DMD holds the professional credentials of BDS, DMD. The NPI number for Khaled Abughazaleh, BDS, DMD is 1295840304 and holds license No. 019-024034 (IL). The current practice location address is 65 E Scott St Apt 9A, Chicago, IL 60610-5274 and the office can be reached by phone at 312-498-1588. The NPI was assigned on August 20, 2006 and the record was last updated in NPPES on July 8, 2007.
●Provider Profile Details
- NPI Number
- 1295840304
- Provider Name
- Khaled Abughazaleh
- Credential
- BDS, DMD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X
- Sole Proprietor
- No
- Enumeration Date
- August 20, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 65 E Scott St Apt 9A
Chicago, IL 60610-5274 - City
- Chicago
- State
- Illinois
- ZIP
- 60610-5274
- Country
- US
- Phone Number
- 312-498-1588
✉Business Mailing Address
- Address
- 65 E Scott St Apt 9A
Chicago, IL 60610-5274 - City
- Chicago
- State
- IL
- ZIP
- 60610-5274
- Phone Number
- 312-498-1588
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery | 204E00000X | Yes | 019-024034 | IL |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Chicago, IL
View all providers in Chicago →?Frequently Asked Questions
What is the NPI number of Khaled Abughazaleh, BDS, DMD?
The NPI number of Khaled Abughazaleh, BDS, DMD is 1295840304. It was assigned on August 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Khaled Abughazaleh, BDS, DMD?
Khaled Abughazaleh, BDS, DMD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X) and holds license No. 019-024034 (IL).
Where does Khaled Abughazaleh, BDS, DMD practice?
The practice location is 65 E Scott St Apt 9A, Chicago, IL 60610-5274. The office can be reached at 312-498-1588 (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 1295840304 directly on the NPPES registry website at npiregistry.cms.hhs.gov.