Tesneim Awadallah, DMD
Individual provider Active NPI General Practice Dentistry · Burbank, IL
NPI 1558034116 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1558034116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019033351 (IL)
- Practice address
- 5600 W 87TH St
Burbank, IL 60459-2902 - Phone
- (708) 952-0000
- NPI assigned
- Jul 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019033351 | IL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019033351 | IL | Yes |
Addresses
Primary practice location
5600 W 87TH St
Burbank, IL 60459-2902
Mailing address
5600 W 87TH St
Burbank, IL 60459-2902
Phone (708) 952-0000
Other providers in Burbank, IL
- Melinda Antoskiewicz
- Rasha William Atallah
- Jean Athappilly
- Atlas Dental Corp
- Salhab Awadallah
- Lila Ayyad-Alharsha
- Suguna Babu
- Jenna Bacerra
- Jessica Bachleda-Prazec
- Emad Bahmead
All providers in Burbank, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.