Individual
ADAM AL-KASSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4516 S DAMEN AVE, CHICAGO, IL 60609-3013
(773) 869-0201
Mailing address
1400 W RANDOLPH ST UNIT 2304, CHICAGO, IL 60607-1436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033790
IL
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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