Rene Albishara

Primary specialty

DentistTaxonomy code 122300000X

License

019.033603 Issued in IL

Practice address

4901 N Kedzie Ave
Chicago, IL 60625-5009

Phone

(773) 509-9200

NPI assigned

Jun 16, 2022

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2022.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1144950643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STERLING CIR APT 203",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898492",
            "telephone_number": "317-224-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255009",
            "telephone_number": "773-509-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBISHARA",
        "first_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison N. Albian, PA-C
• Jade Albin, MA, LCPC
• Theresa Kathleen Albini, MSW
• Albion Medical Partners of Illinois, SC
• Leslie Albion, LCPC
• Lydia Albjerg, DO, MPH
• Kecia Alboyd, MA CCC-SLP/L
• Amanda Albrecht
• Anthony Gerard Albrecht, PA-C
• Joerg Albrecht, M.D.

• All providers in Chicago, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.