Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255968368 Individual Practitioner Female Practitioner

Dr. Lyla H Azzam , DDS

Dentist • Glendale Heights, IL

Professional Overview & Biography Verified Profile Summary

Dr. Lyla Azzam, DDS is a registered healthcare professional specializing in Dentist in Glendale Heights, IL. Practice services are available at 1177 BLOOMINGDALE RD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1177 Bloomingdale Rd Ste B

Glendale Heights, IL 601393402

Telephone 6308663000
Associated Practice Facility / Clinic
🏢 Glendale Heights Dental P.c. Facility NPI 1447644828

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Glendale Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Glendale Heights, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2023-01-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License NY 062029

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

Zufall Health Center, 18 West Blackwell Street

Dover, NJ 07801

Phone: 9733289100

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mrunal Shah , DMD

Dentist - General Practice

NPI 1417639709

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address January 13, 2023

Registered at 1177 BLOOMINGDALE RD STE B, GLENDALE HEIGHTS, IL 601393402 (Tel: 6308666000)

📍
Updated Practice Location November 24, 2022

Registered at 1177 BLOOMINGDALE RD STE B, GLENDALE HEIGHTS, IL 601393402 (Tel: 6308663000)

📍
Updated Business Mailing Address November 24, 2022

Registered at 1202 WAUKEGAN RD APT 209, GLENVIEW, IL 600253020 (Tel: 6093063023)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2022

Dentist (License #062029 in NY)

NPI Profile Active March 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2020

Registered at ZUFALL HEALTH CENTER, 18 WEST BLACKWELL STREET, DOVER, NJ 07801 (Tel: 9733289100)

📍
Updated Business Mailing Address March 26, 2020

Registered at 1704 EARL DR, BEL AIR, MD 210152035

👤
Provider Name / Credentials Updated March 26, 2020

Recorded as LYLA AZZAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2020

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: 1255968368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2020
Last Update: January 13, 2023
Sole Proprietor: Yes

Mailing Address

1177 Bloomingdale Rd Ste B

Glendale Heights, IL 601393402

Phone: 6308666000

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.