Venus de Milo Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019027619 Issued in IL

Legal business name

VENUS DE MILO DENTISTRY

Practice address

3334 W Peterson Ave
Lower Level
Chicago, IL 60659-3505

Phone

(773) 588-9200

Fax

(773) 588-9201

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Reem M Obaisi, DDSNPI 1972766186

Title

Dentist

Phone

(773) 588-9200

Specialties & licenses 1

Addresses

Tax ID family

Reem Obaisi DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reem Obaisi, DDS, PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1508146580
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reem Mutiah Obaisi, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1972766186
  NPD (past) Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1093053167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 W PETERSON AVE",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593505",
            "telephone_number": "773-588-9200",
            "fax_number": "773-588-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 W PETERSON AVE",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593505",
            "telephone_number": "773-588-9200",
            "fax_number": "773-588-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS DE MILO DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "OBAISI",
        "authorized_official_first_name": "REEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-588-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019027619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moises Ventura, LCPC
• Joseph Venturini, M.D.
• Parameswaren Venugopal, M.D.
• Sanjay Nagaraj Venugopal
• Venus C Paxton MD
• Kristen Venuti, M.D.
• April L Venzon, DPT
• Maria R Ver, M.D.
• Dennys Omar Vera Daner, M.D.
• Pedro Jesus Vera Gonzalez

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.