Individual
DR. SAMY HUSSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6560 W FULLERTON AVE, # O, CHICAGO, IL 60707
(773) 385-6700
(773) 385-6767
Mailing address
430 W. ERIE ST, SUITE 200, CHICAGO, IL 60610
(312) 274-0308
(312) 944-9499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028437
IL
122300000X
Dentist
59305
CA
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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