Azadeh Mary Afzali, DDS
Individual provider Active NPI General Practice Dentistry · Glenview, IL
NPI 1275796237 · NPPES record last updated Mar 12, 2018
Key facts
- NPI
- 1275796237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019-022130 (IL)
- Practice address
- 946 Harlem Ave
Glenview, IL 60025-4275 - Phone
- (847) 724-3969
- Fax
- (847) 724-3972
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-022130 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azadeh Afzali D.D.S, Inc. | General Practice | Past |
Accepting new patients |
| Afzali Dental Corporation | Past |
Accepting new patients | |
| Glenlake Dental Care PC | Past | Accepting new patients | |
| Eric Lim, DDS, LTD | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-022130 | IL | Yes |
Addresses
Primary practice location
946 Harlem Ave
Glenview, IL 60025-4275
Mailing address
946 Harlem Ave
Glenview, IL 60025-4275
Phone (847) 724-3969
Other providers in Glenview, IL
- Advanced Total Dental Care
- Aesthetic Anesthesia, LLC
- Jhaneil Afflick
- Ardeshir Afra
- Zahra Sara Afshari
- Thomas E Agan
- Mary Delanie Aguilar
- Colette Marie Ahlberg
- Rauqelle Ahlfeld
- Deepali Ahluwalia
All providers in Glenview, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.