Al Azzawi, Bushra A

Al Azzawi, Bushra A is an sole proprietor health care provider with primary practice located at 2545 W Peterson Ave Suite 201, Chicago IL 60659-4091. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Al Azzawi, Bushra A can be contacted via phone (773) 561-2808.

Contact Information

Primary practice address
2545 W Peterson Ave Suite 201 Chicago IL 60659-4091
Fax: (773) 561-2809
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019024872 Illinois

Profile Details

NPI number 1730220450
LBN Legal business name Al Azzawi, Bushra A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Nov 10th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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