| Ghassan Abdallah | |
|
7895 W 159th St Tinley Park IL 60477 | |
| (708) 429-4822 | |
| (708) 429-4873 |
| Full Name | Ghassan Abdallah |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7895 W 159th St, Tinley Park, Illinois |
| Authorized Official Name and Position | Ghassan Abdallah (DMD PRESID) |
| Authorized Official Contact | 7084294822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghassan Abdallah 7895 W 159th St Tinley Park IL 60477 Ph: (708) 429-4822 | Ghassan Abdallah 7895 W 159th St Tinley Park IL 60477 Ph: (708) 429-4822 |
| NPI Number | 1356543755 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356543755 | NPI | - | NPPES |
| 1001005 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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