Individual
DR. ALI ABUSHAMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2937 IL-178, SUITE 2, NORTH UTICA, IL 61373
(815) 993-3101
Mailing address
2937 IL-178, SUITE 2, NORTH UTICA, IL 61373
(815) 993-3101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019036179
IL
Other
Enumeration date
11/15/2024
Last updated
07/07/2025
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