Individual
HENNA ABBASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
Mailing address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019030872
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
36941
TX
Other
Enumeration date
11/15/2017
Last updated
12/24/2020
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