Provider Demographics
NPI:1336729599
Name:AL AKAM, HUSSAIN ALI NEAMA (DDS)
Entity Type:Individual
Prefix:
First Name:HUSSAIN
Middle Name:ALI NEAMA
Last Name:AL AKAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3504
Mailing Address - Country:US
Mailing Address - Phone:224-866-5134
Mailing Address - Fax:
Practice Address - Street 1:140 W ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:VILLA PARK
Practice Address - State:IL
Practice Address - Zip Code:60181-3504
Practice Address - Country:US
Practice Address - Phone:224-866-5134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0345911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice