Naela Fatima Sayeeduddin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031767 Issued in IL

Practice address

5836 S Harlem Ave Ste 200
Summit Argo, IL 60501-1407

Phone

(708) 215-4000

NPI assigned

Jun 21, 2018

Last updated

Jun 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Town LTD

  • General Practice Dentistry
  • Summit Argo, IL
  • NPI 1134083769
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1003300047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 S HARLEM AVE STE 200",
            "city": "SUMMIT ARGO",
            "state": "IL",
            "postal_code": "605011407",
            "telephone_number": "708-215-4000",
            "fax_number": "708-416-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 S HARLEM AVE STE 200",
            "city": "SUMMIT ARGO",
            "state": "IL",
            "postal_code": "605011407",
            "telephone_number": "708-215-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYEEDUDDIN",
        "first_name": "NAELA",
        "middle_name": "FATIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019.031767",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gal Center of Hope LLC
• Kozal Chiropractic, P.C.
• Anastasia Kozal, DMD
• Daniel A. Kozal, D.C.
• Deisy Lopez-Rosales, LMT
• Anna Ziaja-Castillo, ED.S.

• General Practice Dentistry in Summit Argo, IL
• Providers in Summit Argo, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.