Active NPI
Manar Ahmed
- Dentist
- La Grange Park, IL
National Provider Identifier
1033031224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.037370
- Practice address
- 321 N la Grange Rd
La Grange Park, IL 60526-5622 - Phone
- (708) 745-5277
- NPI assigned
- Jul 28, 2026
- Last updated
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.037370 | IL | Primary |
Addresses
Primary practice location
321 N la Grange Rd
La Grange Park, IL 60526-5622
Mailing address
6836 Winston Dr
Tinley Park, IL 60477-1772
Phone (708) 928-1347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1033031224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 WINSTON DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771772",
"telephone_number": "708-928-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N LA GRANGE RD",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605265622",
"telephone_number": "708-745-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MANAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.037370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.