Azzam, Lyla H

Azzam, Lyla H is an sole proprietor health care provider with primary practice located at 1177 Bloomingdale Rd Ste B , Glendale Heights IL 60139-3402. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is her primary health care specialty. Azzam, Lyla H can be contacted via phone (630) 866-3000.

Contact Information

Primary practice address
1177 Bloomingdale Rd Ste B Glendale Heights IL 60139-3402
Phone: (630) 866-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 062029 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 019.033 Illinois

Profile Details

NPI number 1255968368
LBN Legal business name Azzam, Lyla H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2020
Last updated Jan 13th, 2023 - about 2 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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