1023276292 NPI number — DENTAL STARZ, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023276292 NPI number — DENTAL STARZ, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DENTAL STARZ, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023276292
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 W NORTH AVE # 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHLAKE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60164-2306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2121 S WOLF RD APT 412
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLSIDE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60162-2144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-290-2023
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AHMED
Authorized Official First Name:
ILYAS
Authorized Official Middle Name:
MOHAMMED
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
630-290-2023

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  019-026721 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)