Abdullah, Larry R

Abdullah, Larry R is an sole proprietor health care provider with primary practice located at 7013 S Western Ave , Chicago IL 60636-3121. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Abdullah, Larry R can be contacted via phone (773) 476-0600.

Contact Information

Primary practice address
7013 S Western Ave Chicago IL 60636-3121
Phone: (773) 476-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19A14729 Illinois

Profile Details

NPI number 1265463103
LBN Legal business name Abdullah, Larry R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 18 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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