NPI 1649783440 · live from the CMS NPI Registry
Henna Abbasi
Dentist, Orthodontics and Dentofacial Orthopedics in Chicago, IL. National Provider Identifier 1649783440, active.
NPI record
| NPI | 1649783440 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3435 W Irving Park Rd, Chicago, IL 60618 |
| Practice phone | 773-588-8200 |
| Enumerated | November 15, 2017 |
| Last updated | December 24, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 36941 (TX) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 019030872 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.