Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1336163872 Deactivated / Inactive NPI Male Practitioner

Dr. Abdul Salaam , DDS

Dentist - General Practice • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Abdul Salaam has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2006
NPI Deactivation Date August 21, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Abdul Salaam, DDS was a registered Dentist - General Practice practicing in Chicago, IL. Throughout an active medical career spanning 12 years, Dr. Salaam provided care at the practice location at 1502 E 63RD ST until profile deactivation on 2018-08-21.

Practice Location & Contact Primary Location

Practice Address

1502 E 63rd St

Chicago, IL 606372921

Telephone 7734965138
Fax 7734965142
Associated Practice Facility / Clinic
🏢 Woodlawn Dental Gallery Facility NPI 1568838043

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 0190130583

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1467687921

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 21, 2018

Record deactivated on August 21, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1502 E 63RD ST, CHICAGO, IL 606372921 (Tel: 7734965138)

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Updated Business Mailing Address July 08, 2007

Registered at 1502 E 63RD ST, CHICAGO, IL 606372921 (Tel: 7734965138)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ABDUL SALAAM, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0190130583 in IL)

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Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336163872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: July 08, 2007
Deactivation Date: August 21, 2018

Mailing Address

1502 E 63rd St

Chicago, IL 606372921

Phone: 7734965138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.