EHAB TAHER AWADI GHANDOUR DMD
NPI 1659770741
Dentist in Blue Island, IL

Q: What is Ehab Ghandour's NPI number?

The NPI number for Ehab Ghandour is 1659770741. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Q: What is Ehab Ghandour's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ehab Ghandour was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 14, 2014

12200 WESTERN AVE, STE 108, BLUE ISLAND, IL 60406(708) 385-3700 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ehab Taher Awadi Ghandour Dmd NPPES

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

EHAB TAHER AWADI GHANDOUR DMD (NPI 1659770741) is an individual dentist in Blue Island, Illinois, licensed in Illinois (019030058) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1659770741

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameEHAB TAHER AWADI GHANDOURCredential: DMD

Location Address12200 WESTERN AVE, STE 108Blue Island, IL 60406-1398

Mailing Address12200 Western Ave, Ste 108Blue Island, IL 60406-1398 · (708) 385-3700

Phone(708) 385-3700

Sole ProprietorYes

Enumeration DateAugust 14, 2014

Last NPPES UpdateApril 27, 2015

✔ NPI 1659770741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019030058

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.

12200 WESTERN AVE, Blue Island, IL 60406

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

BRENDA CARBAJAL

Physician Assistant

12200 WESTERN AVE
BLUE ISLAND, IL 60406

Cook County (708) 631-2781

MIDWEST EXPRESS CARE 2, INC

Internal Medicine

12200 WESTERN AVE
BLUE ISLAND, IL 60406

Cook County (630) 581-5372

MIDWEST EXPRESS CARE 3 LLC

Clinic/Center (Urgent Care)

12200 WESTERN AVE
BLUE ISLAND, IL 60406

Cook County (708) 631-2781

DR. KRISTIN MARIE ANDREWS D.D.S.

Dentist

12200 WESTERN AVE
BLUE ISLAND, IL 60406

Cook County (708) 385-3700

JENNIFER R. KOMADA NP-C

Nurse Practitioner (Family)

12200 WESTERN AVE
BLUE ISLAND, IL 60406

Cook County (708) 631-2781

DR. DARLENE JO BUIS D.D.S.

Dentist (General Practice)

12200 WESTERN AVE, #108
BLUE ISLAND, IL 60406

Cook County (708) 385-3700

DR. SHEBA SARWAT KHAN D.D.S.

Dentist

12200 WESTERN AVE
BLUE ISLAND, IL 60406

Cook County (708) 385-3700

DR. COLIN M HALEY D.D.S.

Dentist (General Practice)

12200 WESTERN AVE, SUITE 108
BLUE ISLAND, IL 60406

Cook County (708) 385-3700

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 Ehab Ghandour's NPI number?

The NPI number for Ehab Ghandour is 1659770741. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Ehab Ghandour located?

Ehab Ghandour practices at 12200 Western Ave Ste 108, Blue Island, IL 60406. The listed phone number is (708) 385-3700.

What is Ehab Ghandour's specialty?

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

What insurance does Ehab Ghandour accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Humana and Renaissance Dental list Ehab Ghandour 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 Ehab Ghandour was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.