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NPI 1790327336

Abdula Elkhadra, DMD

Dentist · Chicago, IL

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:33 am EDT

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Abdula Elkhadra, DMD is a health care provider (Dentist) in Chicago, Illinois with National Provider Identifier (NPI) 1790327336. The NPI was issued on Oct 15, 2019 and the registry record was last updated on Sep 23, 2020. The registry lists 3 licenses in Illinois, Indiana, Wisconsin.

Registry record

NPI
1790327336
Type
Individual (NPI-1)
Primary specialty
Dentist 122300000X
Practice location
4849 W Belmont Ave
Chicago, IL 60641-4330
Phone
(773) 930-4943
NPI issued
Oct 15, 2019
Registry record updated
Sep 23, 2020

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Dentist Primary122300000XIllinois019.032394
Dentist122300000XIndiana12013271A
Dentist122300000XWisconsin1002223-15

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Dentist providers in Illinois

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.