Shazad S Al-Kurdi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032171 Issued in IL

Practice address

9539A S Cicero Ave
Oak Lawn, IL 60453-3136

Phone

(773) 551-9490

NPI assigned

Sep 4, 2019

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

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1376192203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36W935 WILDMERE DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234806",
            "telephone_number": "773-551-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9539A S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533136",
            "telephone_number": "773-551-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KURDI",
        "first_name": "SHAZAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umar Akel, DO
• Samweel Akhnoukh, RPT
• Umaima Akram, M.D.
• Anas Al Mughrabi, DMD
• Mohammad Al-Khudari, MD
• Ayham Al-Zanat
• Leslie Alanis
• Mohammad Alattar, M.D.
• Elizabeth Alberico, CSFA
• Jaimie Albert, DPT

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.