Tina Chalabiani Nejadazar, DMD
Individual provider Active NPI Dentist · Addison, IL
NPI 1285589705 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1285589705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019036823 (IL)
- Practice address
- 120 E Lake St
Addison, IL 60101-2821 - Phone
- (630) 833-8888
- NPI assigned
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019036823 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Family Dental of Addison PC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019036823 | IL | Yes |
Addresses
Primary practice location
120 E Lake St
Addison, IL 60101-2821
Mailing address
754 Stockley Rd
Downers Grove, IL 60516-4015
Phone (630) 833-8888
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. 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.