DR. OTHMAN REZKI (NPI# 1255986576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255986576 |
| Entity Type | Individual |
| Full Name | DR. OTHMAN REZKI |
| Credential | DMD |
| Practice Address |
1900 W Polk St # 611 Chicago IL 60612-3723 |
| Mailing Address |
1950 W Polk St Fl 5 Chicago IL 60612-3723 |
| Practice Telephone | 3128640200 |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
002120 | IL | Dental Providers |
| Street Address |
1900 W POLK ST # 611 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1962769422 | Dr. Sunil Sinha and Associates Inc. | Dentist | 850 South Wabash Avenue, Suite 310, Chicago, IL 60605 | 2012-04-20 |
| 1669746418 | Biraj M. Shah | Dentist | 1900 W Polk St Ste 612, Chicago, IL 60612 | 2012-02-25 |
| 1417248261 | Jordan Ray Ledger | Dentist | 1229 W Washington Blvd, Suite 220, Chicago, IL 60607-2132 | 2011-04-27 |
| 1336377456 | Jason Sean Schrotenboer | Dentist | 3927 W Belmont Ave Ste 101, Chicago, IL 60618-5170 | 2009-06-26 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1467607556 | Ora Studios | Dentist | 1827 S Michigan Ave, Chicago, IL 60616-1601 | 2008-11-18 |
| 1831342377 | Raza Ali Hussain | Dentist | 1025 W Monroe St Unit 3w, Chicago, IL 60607-2745 | 2008-10-28 |
| 1760679294 | Armitage Oral Surgery | Dentist | 2220 W Armitage Ave, Chicago, IL 60647-4461 | 2007-09-28 |
| 1386837821 | Patrick Carroll | Dentist | 220 E Illinois St Apt 2802, Chicago, IL 60611-4516 | 2007-08-18 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.