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Tarek Abourass

Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).

NPI number1902257587
StatusActive
Last updated in NPPESJun 24, 2016

Details

NPI
1902257587
Entity type
Individual (NPI-1)
Name
Tarek Abourass
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 24, 2016
Last updated
Jun 24, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019030755ILYes

Practice location

535 N Michigan Ave Apt 1412
Chicago, IL 60611-3874

Phone 630-441-7626

Mailing address

535 N Michigan Ave Apt 1412
Chicago, IL 60611-3874

Phone 630-441-7626

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