Osaamah Abdulla, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019035995 Issued in IL

Practice address

12059 Western Ave
Blue Island, IL 60406-1162

Phone

(708) 371-3844

NPI assigned

May 24, 2025

Last updated

May 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Island Smiles PC

  dba Blue Island Smiles Family Dentistry

  • General Practice Dentistry
  • Blue Island, IL
  • NPI 1942842810
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1083407886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 DEBLIN LN APT 201",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12059 WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061162",
            "telephone_number": "708-371-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLA",
        "first_name": "OSAAMAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A1 Medical Equipment Inc.
• Access Community Health Network
• Access Community Health Network (ACCESSRx)
• Lynnetta Adams
• Patrick Adams
• Ronald Frank Agrigento, P.T., A.T.C.

• General Practice Dentistry in Blue Island, IL
• Providers in Blue Island, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.