| Salam Dental PC | |
|
8441 W Lawrence Ave Chicago IL 60656-2953 | |
| (847) 589-1400 | |
| (855) 599-9563 |
| Full Name | Salam Dental PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 8441 W Lawrence Ave, Chicago, Illinois |
| Authorized Official Name and Position | Hossam Abdelsalam (PRESIDENT/ OWNER) |
| Authorized Official Contact | 3474479212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salam Dental PC 111 W Wacker Dr Apt 4505 Chicago IL 60601-1691 Ph: (347) 447-9212 | Salam Dental PC 8441 W Lawrence Ave Chicago IL 60656-2953 Ph: (847) 589-1400 |
| NPI Number | 1689397655 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 9638646730 |
|---|---|
| Medicare Enrollment ID | O20260427001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689397655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
| Provider Name | Hossam Abdelsalam |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184248213 PECOS PAC ID: 0547737645 Enrollment ID: I20260518002691 |
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