- Practice location
- 5333 N Clark St, Chicago, IL 60640-2121
- Phone
- 773-728-5333
- Fax
- 773-728-7405
- Last updated
- January 23, 2023
Ghassan Abboud is a Dentist, Prosthodontics based in Chicago, IL. Ghassan Abboud practices in Chicago, IL. The NPI Number for Ghassan Abboud is 1508854910 and holds a License No. 021003234 (IL). The current practice location address for Ghassan Abboud is 5333 N Clark St, Chicago, IL 60640-2121 and can be reached out via phone at 773-728-5333 and via fax at 773-728-7405.
Provider Profile Details
- NPI Number
- 1508854910
- Provider Name
- Ghassan Abboud
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5333 N Clark St, Chicago, IL 60640-2121
- Phone Number
- 773-728-5333
- Fax Number
- 773-728-7405
- Primary Taxonomy
- Dentist, Prosthodontics · 1223P0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 10, 2005
- Last Update Date
- January 23, 2023
- Certification Date
- January 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5333 N Clark St
Chicago, IL 60640-2121 - City
- Chicago
- State
- Illinois
- Zip
- 60640-2121
- Phone Number
- 773-728-5333
- Fax Number
- 773-728-7405
Provider Business Mailing Address Details
- Address
- 5333 N Clark St
Chicago, IL 60640-2121 - City
- Chicago
- State
- IL
- Zip
- 60640-2121
- Phone Number
- 773-728-5333
- Fax Number
- 773-728-7405
License Information
- License Number (1)
- 021003234
- License State (1)
- IL
- Taxonomy (1)
- Dentist, Prosthodontics · 1223P0700X · Primary
- License Number (2)
- 019-023616
- License State (2)
- IL
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ghassan Abboud I?
The NPI number of Ghassan Abboud I is 1508854910. It was assigned on October 10, 2005 and is currently active in the NPPES registry.
What is the specialty of Ghassan Abboud I?
Ghassan Abboud I is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in IL under license number 021003234.
Where does Ghassan Abboud I practice?
The practice location is 5333 N Clark St, Chicago, IL 60640-2121. The office can be reached at 773-728-5333 (phone) or 773-728-7405 (fax).
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 1508854910 directly on the NPPES registry website.