Individual
DR. MUDAR AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
939 W NORTH AVE STE 890, CHICAGO, IL 60642-8683
(312) 642-3370
Mailing address
747 N WABASH AVE APT 1207, CHICAGO, IL 60611-2267
(313) 699-0374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033999
IL
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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