1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Dentist
  6. NPI Profile

ABDALLAH ABBOUD
NPI 1962702068
Dentist in Chicago, IL

Active since October 25, 2010PECOS Enrolled
4049 W 26TH ST, CHICAGO, IL 60623(773) 521-2800(773) 521-2805 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abdallah Abboud NPPES

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

ABDALLAH ABBOUD (NPI 1962702068) is an individual dentist in Chicago, Illinois, licensed in Illinois (019028508) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962702068
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameABDALLAH ABBOUD
Location Address4049 W 26TH STChicago, IL 60623-3701
Mailing Address5333 N Clark StChicago, IL 60640-2121 · (773) 340-8318 · Fax (773) 739-4300
Phone(773) 521-2800
Fax(773) 521-2805
Sole ProprietorYes
Enumeration DateOctober 25, 2010
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1962702068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019028508
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.
4049 W 26TH ST, Chicago, IL 60623
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdallah Abboud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. DIANA KATERINE CARDONA SALAZAR DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4049 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 521-2800
LITTLE VILLAGE DENTAL PC
Dentist
4049 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 728-5333

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 Abdallah Abboud's NPI number?

The NPI number for Abdallah Abboud is 1962702068. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Abdallah Abboud located?

Abdallah Abboud practices at 4049 W 26th St, Chicago, IL 60623. The listed phone number is (773) 521-2800.

What is Abdallah Abboud's specialty?

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

Is Abdallah Abboud enrolled in Medicare?

Yes. Abdallah Abboud is registered in the Medicare PECOS enrollment system.

What insurance does Abdallah Abboud accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 5 other insurers list Abdallah Abboud 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 Abdallah Abboud was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.