Renee Michelle Habbal, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.032601 Issued in IL

Practice address

12612 S Harlem Ave
Palos Heights, IL 60463-1428

Phone

(708) 361-8117

NPI assigned

Jun 4, 2020

Sex

Female

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

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

• Walid Habbal DDS PC

  • Dentist
  • Palos Heights, IL
  • NPI 1831253921
  NPD (past)

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1114541125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 AUGUSTA DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632905",
            "telephone_number": "708-790-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631428",
            "telephone_number": "708-361-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABBAL",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisselle Guingon
• Pavan K Gupta, DO
• Thomas F. Gutchewsky, APN, CNP
• Andrea Alexis Guzman, PA-C
• William Haack
• Walid Habbal, DDS
• Bailanie Montok Habrelewicz
• Theresa Margaret Hall-Ferchau, M.A.CCC-A
• Daysia Monet Hall
• Ronald K Hamburger, M.D.

• Dentist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.