Individual provider Active NPI

Insia Fatema Virji, DMD

  • General Practice Dentistry
  • Waukegan, IL
National Provider Identifier
1134712524
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.032984 Issued in IL
Practice address
2605 Grand Ave Ste a
Waukegan, IL 60085-2410
Phone
(847) 244-7779
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.032984 IL Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12014931A IN

Addresses

Primary practice location

2605 Grand Ave Ste a
Waukegan, IL 60085-2410

Mailing address

1160 S Michigan Ave Apt 3302
Chicago, IL 60605-3047
Phone (630) 414-9839

Other practice location 1

8327 Indianapolis Blvd
Highland, IN 46322-1065
Phone (219) 301-8666

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

State licenses

LicenseStateTypeSpecialty
019.032984ILMDGeneral Practice Dentistry
12014931AINMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Dental Group PC. CurrentSince Feb 21, 2021 Accepting new patients

Locations

2605 Grand Ave
#A
Waukegan, IL 60085
Phone (847) 244-7779

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1134712524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 S MICHIGAN AVE APT 3302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053047",
            "telephone_number": "630-414-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 GRAND AVE STE A",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852410",
            "telephone_number": "847-244-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8327 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221065",
            "country_code": "US",
            "telephone_number": "219-301-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRJI",
        "first_name": "INSIA",
        "middle_name": "FATEMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032984",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12014931A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.