Shameema Essof

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHAMEEMA ESSOF

Practice address

1328 W 127TH St
Calumet Park, IL 60827-6129

Phone

(708) 597-3131

Fax

(708) 597-1230

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shameema Essof

Title

Owner

Phone

(708) 597-3131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1306010285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 W 127TH ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276129",
            "telephone_number": "708-597-3131",
            "fax_number": "708-597-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 W 127TH ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276129",
            "telephone_number": "708-597-3131",
            "fax_number": "708-597-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMEEMA ESSOF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "ESSOF",
        "authorized_official_first_name": "SHAMEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-597-3131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.