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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHALED BASSAM BISHAWI

Active Sole Proprietor

KHALED BASSAM BISHAWI is a General Dentistry healthcare provider located in RIVERDALE, Illinois. NPI 1205676939 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RIVERDALE, IL

Registration Details

NPI Number
1205676939
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2024 (2.2237607106307 yrs)
Last Updated
May 30, 2024
License
019.035107 (IL)
Sole Proprietor
Yes

Practice Information

Address
61 W 144TH ST
RIVERDALE, IL, 608272850
Browse IL providers · Browse ZIP 60827
Phone
7088498627
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in RIVERDALE, IL

Name Credential NPI
DR. FORINNA T CHEN DDS 1750599528
GRACE H LEE DDS 1760673339
DR. JANANI KOTESHWARAN GURUKKAL DMD 1124606538
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.