Al Azzawi, Thaer
Al Azzawi, Thaer is an sole proprietor health care provider with primary practice located at 811 W Wellington Ave , Chicago IL 60657-5123. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Al Azzawi, Thaer can be contacted via phone (773) 871-1461.Contact Information
Primary practice address
811 W Wellington Ave
Chicago IL 60657-5123
Phone: (773) 871-1461
Fax: (773) 871-6353
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 31017 | Texas |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 019.033851 | Illinois |
Dental Providers / Dentist | 122300000X | 019.033851 | Illinois |
Profile Details
NPI number | 1366823262 |
---|---|
LBN Legal business name | Al Azzawi, Thaer |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2015 |
Last updated | Aug 26th, 2023 - about last year |
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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