Amjad Jalil Alqazaha, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019-029072 Issued in IL

Practice address

5672 S Archer Ave
Chicago, IL 60638-1641

Phone

(773) 435-9933

Fax

(773) 295-1112

NPI assigned

Jul 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ab Dental Professionals LLC

  • Dentist
  • Chicago, IL
  • NPI 1316434400
  NPD Authorized official
• Procare Dental Group, P.C.

  dba Central DuPage Dental Group

  • Dentist
  • Wheaton, IL
  • NPI 1215094883
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1164778197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5672 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381641",
            "telephone_number": "773-435-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5672 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381641",
            "telephone_number": "773-435-9933",
            "fax_number": "773-295-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQAZAHA",
        "first_name": "AMJAD",
        "middle_name": "JALIL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-029072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alphacare Pharmacy, LLC
• Alphazeta Healthcare Services LLC
• Hannah Alphs, M.D.
• Ebrahim Alqadasi, MD
• Murad Majed Alqadi, MD
• Tamara Alqazaha
• Alhan J Alqinai, MD
• Rasha Saleh Alradadi
• Naseem Alrafati, PHARMD
• Sahar Mohammad Adnan Alrayyes, DDS, MS

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

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