Individual
DR. ABDULA ELKHADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4849 W BELMONT AVE, CHICAGO, IL 60641-4330
(773) 930-4943
Mailing address
8691 CROWN CT, BURR RIDGE, IL 60527-7130
(630) 880-6071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032394
IL
122300000X
Dentist
1002223-15
WI
122300000X
Dentist
12013271A
IN
Other
Enumeration date
10/15/2019
Last updated
09/23/2020
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