MEDICARE: DR. EMAD E AZAB D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1629247572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMAD E AZAB D.D.S

Provider Business Mailing Address
First Line	:	4703 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-1722
Country	:	US
Telephone Number	:	773-205-9900
Fax Number	:	773-205-9970

Provider Business Practice Location Address
First Line	:	4703 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-1722
Country	:	US
Telephone Number	:	773-205-9900
Fax Number	:	773-205-9970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	02/25/2008

Similar Medicare Providers

1740507631 — MEDICAL SUPPLY FOR YOU LLC
Practice Location Address:

4705 W LAWRENCE AVE
CHICAGO, IL
60630-1722

Practice Phone: 773-338-2178
Practice Fax: 773-338-9543

1164406138 — INDEPENDENCE FAMILY DENTAL
Practice Location Address:

4703 W LAWRENCE AVE
CHICAGO, IL
60630-1722

Practice Phone: 773-205-9900
Practice Fax: 773-205-9970

1881969699 — MR. LEONIDAS NICKOLAOS LOUKAS
Practice Location Address:

4723 W LAWRENCE AVE
CHICAGO, IL
60630-1722

Practice Phone: 847-373-0047
Practice Fax: 888-400-0610

1568728970 — CHICAGO THERAPY SOLUTIONS INCORPORATED
Practice Location Address:

4723 W LAWRENCE AVE
CHICAGO, IL
60630-1722

Practice Phone: 847-373-0047
Practice Fax: 888-400-0610

1144765777 — BLUE STAR DENTAL INC
Practice Location Address:

4703 W LAWRENCE AVE
CHICAGO, IL
60630-1722

Practice Phone: 773-698-5773
Practice Fax:

1730823147 — ADNAN LAB INC
Practice Location Address:

4719 W LAWRENCE AVE
CHICAGO, IL
60630-1722

Practice Phone: 773-853-2738
Practice Fax:

Directions to “ DR. EMAD E AZAB D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.