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DR. MUDAR AZZAM DDS
NPI 1467160150
Dentist in Chicago, IL

Active since November 10, 2022
939 W NORTH AVE STE 890, CHICAGO, IL 60642(312) 642-3370 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mudar Azzam Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MUDAR AZZAM DDS (NPI 1467160150) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.033999) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1467160150
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MUDAR AZZAMCredential: DDS
Location Address939 W NORTH AVE STE 890Chicago, IL 60642-8683
Mailing Address747 N Wabash Ave Apt 1207Chicago, IL 60611-2267 · (313) 699-0374
Phone(312) 642-3370
Sole ProprietorYes
Enumeration DateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1467160150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.033999
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
939 W NORTH AVE STE 890, Chicago, IL 60642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL SALON LLC
Clinic/Center (Dental)
939 W NORTH AVE STE 890
CHICAGO, IL 60642
Cook County (312) 642-3370
DR. ANKUR KHANNA
Dentist (General Practice)
939 W NORTH AVE STE 890
CHICAGO, IL 60642
Cook County (312) 642-3370
DR. BASEM RASHAD DMD
Dentist (General Practice)
939 W NORTH AVE STE 890
CHICAGO, IL 60642
Cook County (609) 510-9050
DR. NORA RANDA KATIB DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
939 W NORTH AVE STE 890
CHICAGO, IL 60642
Cook County (312) 642-3370
HYOJUN KIM DMD
Dentist
939 W NORTH AVE STE 890
CHICAGO, IL 60642
Cook County (312) 642-3370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mudar Azzam's NPI number?

The NPI number for Mudar Azzam is 1467160150. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Mudar Azzam located?

Mudar Azzam practices at 939 W North Ave Ste 890, Chicago, IL 60642. The listed phone number is (312) 642-3370.

What is Mudar Azzam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mudar Azzam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mudar Azzam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mudar Azzam was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.