Bushra A Al Azzawi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024872 Issued in IL

Practice address

2545 W Peterson Ave
Suite 201
Chicago, IL 60659-4091

Phone

(773) 561-2808

Fax

(773) 561-2809

NPI assigned

Feb 8, 2007

Last updated

Nov 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perfect Dental Smile, LTD

  • Dentist
  • Cicero, IL
  • NPI 1194976282
  NPD (past) Authorized official
• Perfect Dental Smile, LTD.

  • Dentist
  • Chicago, IL
  • NPI 1104077692
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1730220450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W PETERSON AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594091",
            "telephone_number": "773-561-2808",
            "fax_number": "773-561-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W PETERSON AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594091",
            "telephone_number": "773-561-2808",
            "fax_number": "773-561-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL AZZAWI",
        "first_name": "BUSHRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hikmat A. Al Ahmadie, M.D.
• Jamal Al Ali, MD
• Maha Mohammed Al Amri, M.B.B.S
• Ali Al Asadi, MD
• Sara Al Azmeh, PHARMD
• Thaer Al Azzawi, D.M.D.
• Shahad Al Bayati, M.D.
• Fadhil Al Janabi
• Obada Ahmad Al Jayyousi
• Abdallah Al Khateeb, MBBS

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Nov 10, 2009; 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.