Individual
DR. BUSHRA A AL AZZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2545 W PETERSON AVE, SUITE 201, CHICAGO, IL 60659-4091
(773) 561-2808
(773) 561-2809
Mailing address
2545 W PETERSON AVE, SUITE 201, CHICAGO, IL 60659-4091
(773) 561-2808
(773) 561-2809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024872
IL
Other
Enumeration date
02/08/2007
Last updated
11/10/2009
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