Hasan Abul-Khair
Individual provider Active NPI Dentist · Freeport, IL
NPI 1740103258 · NPPES record last updated Aug 1, 2026
Key facts
- NPI
- 1740103258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019037389 (IL)
- Practice address
- 50 W Douglas St
Freeport, IL 61032-4129 - Phone
- (954) 496-3446
- NPI assigned
- Aug 1, 2026
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019037389 | IL | Yes |
Addresses
Primary practice location
50 W Douglas St
Freeport, IL 61032-4129
Mailing address
10611 NW 18TH Dr
Plantation, FL 33322-3546
Phone (954) 496-3446
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2026. 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.