Individual
JESSICA CAROLINA ABOUD CHAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3309 W NORTH AVE, CHICAGO, IL 60647-4901
(312) 478-6506
Mailing address
222 W ERIE ST APT 1403, CHICAGO, IL 60654-4836
(312) 478-6506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035123
IL
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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