IndividualActive
Abdul Monim Albazzaz, D.M.D.
NPI 1083096259 · General Practice Dentistry · Saint Charles, IL
Provider details
- NPI number
- 1083096259
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019030216 (IL)
Specialties & taxonomies
Dental Providers
Practice location
39w600 Oak Shadows Ln
Saint Charles, IL 60175-6983
Phone: (847) 849-0717
Approximate (ZIP-level) locationGet directions
Mailing address
39w600 Oak Shadows Ln
Saint Charles, IL 60175-6983
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2015-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.