Hussain Ali Neama Al Akam, DDS

Individual provider Active NPI General Practice Dentistry · Villa Park, IL

NPI 1336729599 · NPPES record last updated Nov 29, 2023

Key facts

NPI
1336729599
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
019.034591 (IL)
Practice address
140 W Roosevelt Rd
Villa Park, IL 60181-3504
Phone
(224) 866-5134
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
019.034591ILMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.034591 IL Yes

Addresses

Primary practice location

140 W Roosevelt Rd
Villa Park, IL 60181-3504

Mailing address

140 W Roosevelt Rd
Villa Park, IL 60181-3504
Phone (224) 866-5134

Other providers in Villa Park, IL

All providers in Villa Park, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.