Ghandour, Ehab Taher Awadi

Ghandour, Ehab Taher Awadi is an sole proprietor health care provider with primary practice located at 12200 Western Ave Ste 108, Blue Island IL 60406-1398. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ghandour, Ehab Taher Awadi can be contacted via phone (708) 385-3700.

Contact Information

Primary practice address
12200 Western Ave Ste 108 Blue Island IL 60406-1398
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019030058 Illinois

Profile Details

NPI number 1659770741
LBN Legal business name Ghandour, Ehab Taher Awadi
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2014
Last updated Apr 27th, 2015 - about 9 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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