IndividualActive
Ghassan Abboud
NPI 1508854910 · Prosthodontics · Chicago, IL
Provider details
- NPI number
- 1508854910
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 021003234 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
5333 N Clark St
Chicago, IL 60640-2121
Phone: (773) 728-5333
Fax: (773) 728-7405
Approximate (ZIP-level) locationGet directions
Mailing address
5333 N Clark St
Chicago, IL 60640-2121
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2023-01-23
- Certified
- 2023-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.