Individual
ALAA ASHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15711 PEGGY LN APT 3, OAK FOREST, IL 60452-3191
(310) 886-9525
Mailing address
15711 PEGGY LN APT 3, OAK FOREST, IL 60452-3191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019036124
IL
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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