Julianna P Shamoon DMD PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

JULIANNA P SHAMOON DMD PLLC

Practice address

1624 W Division St Ste B
Chicago, IL 60622-3908

Phone

(773) 697-9796

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Juliannna Shamoon, D.M.D.

Title

Periodontist

Phone

(810) 919-8123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1124674106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W070 ROYCE BLVD APT 428",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814916",
            "telephone_number": "810-919-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W DIVISION ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223908",
            "telephone_number": "773-697-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANNA P SHAMOON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SHAMOON",
        "authorized_official_first_name": "JULIANNNA",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "810-919-8123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.