Zaineb Aslam, DDS
Individual provider Active NPI Periodontics · Huntley, IL
NPI 1083461263 · NPPES record last updated May 4, 2024
Key facts
- NPI
- 1083461263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 019.034981 (IL)
- Practice address
- 12061 Yellowstone Dr
Huntley, IL 60142-8173 - Phone
- (718) 450-6361
- NPI assigned
- May 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034981 | IL | MD | Periodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 019.034981 | IL | Yes |
Addresses
Primary practice location
12061 Yellowstone Dr
Huntley, IL 60142-8173
Mailing address
12061 Yellowstone Dr
Huntley, IL 60142-8173
Other providers in Huntley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.