Ghassan Abboud I
Ghassan Abboud I is a Prosthodontics in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
5333 N Clark StChicago, IL 60640-2121
Phone: (773) 728-5333
Fax: (773) 728-7405
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Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence 021003234 (IL) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 019-023616 (IL) |
Record details
| NPI number | 1508854910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 10, 2005 |
| Last updated in NPPES | January 23, 2023 |
| Certification date | January 23, 2023 |
| Mailing address | 5333 N Clark St, Chicago, IL 60640-2121 |
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