Provider Demographics
NPI:1568355261
Name:ABU-ASSAF, SALAM FERRAS
Entity type:Individual
Prefix:
First Name:SALAM
Middle Name:FERRAS
Last Name:ABU-ASSAF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 JOLIET DR N
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-4578
Mailing Address - Country:US
Mailing Address - Phone:708-263-3285
Mailing Address - Fax:
Practice Address - Street 1:8600 W 159TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4890
Practice Address - Country:US
Practice Address - Phone:630-290-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst