Individual
GHASSAN ABBOUD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5333 N CLARK ST, CHICAGO, IL 60640-2121
(773) 728-5333
(773) 728-7405
Mailing address
5333 N CLARK ST, CHICAGO, IL 60640-2121
(773) 728-5333
(773) 728-7405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-023616
IL
1223P0700X
Prosthodontics
Primary
021003234
IL
Other
Enumeration date
10/10/2005
Last updated
01/23/2023
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