Active NPIIndividual providerSole proprietor

Abdallah Abboud

Dentist in Chicago, Illinois

NPI Number1962702068
Practice location
4049 W 26TH St, Chicago, IL 60623-3701
Fax
773-521-2805
Last updated
January 13, 2011

Abdallah Abboud is a Dentist based in Chicago, IL. The NPI number for Abdallah Abboud is 1962702068 and holds license No. 019028508 (IL). The current practice location address is 4049 W 26TH St, Chicago, IL 60623-3701 and the office can be reached by phone at 773-521-2800 and by fax at 773-521-2805. The NPI was assigned on October 25, 2010 and the record was last updated in NPPES on January 13, 2011.

●Provider Profile Details

NPI Number
1962702068
Provider Name
Abdallah Abboud
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Enumeration Date
October 25, 2010
Last Update Date
January 13, 2011
NPI Status
Active

◉Business Practice Location Address

Address
4049 W 26TH St
Chicago, IL 60623-3701
ZIP
60623-3701
Country
US
Phone Number
773-521-2800
Fax Number
773-521-2805

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✉Business Mailing Address

Address
5333 N Clark St
Chicago, IL 60640-2121
City
Chicago
State
IL
ZIP
60640-2121
Phone Number
773-340-8318
Fax Number
773-739-4300

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist122300000XYes019028508IL

#Other Provider Identifiers

No legacy or other 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 Abdallah Abboud?

The NPI number of Abdallah Abboud is 1962702068. It was assigned on October 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Abdallah Abboud?

Abdallah Abboud is registered under the primary taxonomy Dentist (code 122300000X) and holds license No. 019028508 (IL).

Where does Abdallah Abboud practice?

The practice location is 4049 W 26TH St, Chicago, IL 60623-3701. The office can be reached at 773-521-2800 (phone) or 773-521-2805 (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 1962702068 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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