Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mudar Azzam, DDS

Individual provider Dentist · NPI 1467160150

Dr. Mudar Azzam, DDS is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

939 W North Ave Ste 890
Chicago, IL 60642-8683
Phone: (312) 642-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033999 (IL)

Record details

NPI number1467160150
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 10, 2022
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing address747 N Wabash Ave Apt 1207, Chicago, IL 60611-2267

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