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NPI Code Detail

MEDICARE: DR. MUSTAFA A AL AADHAMI DMD

MEDICARE: DR. MUSTAFA A AL AADHAMI DMD
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
11223G0001XGeneral Practice Dentistry019037171IL

General Provider Information

NPI Number : 1790619898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUSTAFA A AL AADHAMI DMD
Provider Business Mailing Address
First Line : 9434 BAY COLONY DR APT 2W
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-3640
Country : US
Telephone Number : 253-886-0866
Fax Number :
Provider Business Practice Location Address
First Line : 5821 DEMPSTER ST
Second Line :
City : MORTON GROVE
State : IL
Zip : 60053-3028
Country : US
Telephone Number : 847-581-1942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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