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

Thaer Al Azzawi, DMD

Individual provider Dentist · NPI 1366823262

Thaer Al Azzawi, DMD is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois and Texas.

Licensed in
IL, TX
In the registry since
2015
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

811 W Wellington Ave
Chicago, IL 60657-5123
Phone: (773) 871-1461
Fax: (773) 871-6353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033851 (IL)
Dentist Taxonomy 122300000X · Licence 31017 (TX)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 019.033851 (IL)

Record details

NPI number1366823262
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 16, 2015
Last updated in NPPESAugust 26, 2023
Certification dateAugust 26, 2023

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