Active NPI
Ulfath Jameel, DMD
- Dentist
- Homewood, IL
National Provider Identifier
1245089465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.035094
- Practice address
- 18650 Dixie Hwy
Homewood, IL 60430-3700 - Phone
- (708) 315-2764
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.035094 | IL | Primary |
Addresses
Primary practice location
18650 Dixie Hwy
Homewood, IL 60430-3700
Mailing address
7459 S 86TH Ave Apt 1
Justice, IL 60458-1085
Phone (224) 480-3077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035094 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1245089465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7459 S 86TH AVE APT 1",
"city": "JUSTICE",
"state": "IL",
"postal_code": "604581085",
"telephone_number": "224-480-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18650 DIXIE HWY",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604303700",
"telephone_number": "708-315-2764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMEEL",
"first_name": "ULFATH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.035094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.