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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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