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Individual

ABDALLAH ABBOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4049 W 26TH ST, CHICAGO, IL 60623-3701
(773) 521-2800
(773) 521-2805
Mailing address
5333 N CLARK ST, CHICAGO, IL 60640-2121
(773) 340-8318
(773) 739-4300

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028508
IL

Other

Enumeration date
10/25/2010
Last updated
01/13/2011
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