Muserrah Shublaq Salem, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031746 Issued in IL

Practice address

1515 S Prairie Ave Unit 1201
Chicago, IL 60605-3156

Phone

(708) 297-6265

NPI assigned

Nov 19, 2018

Last updated

Nov 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Muserrah Osama Shublaq Former name

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1396214425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S PRAIRIE AVE UNIT 1201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053156",
            "telephone_number": "708-297-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S PRAIRIE AVE UNIT 1201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053156",
            "telephone_number": "708-297-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "MUSERRAH",
        "middle_name": "SHUBLAQ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUSERRAH",
            "last_name": "SHUBLAQ",
            "middle_name": "OSAMA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ahmed Salem, M.D.
• Janice Hoski Salem, M.D.
• Mario Jimmy Salem
• Mohamed Medhat Salem, M.D.
• Mohamed R Salem, MD
• Riad Salem, MD
• Abdallah Salemdawod, MD
• Christopher T Salerno
• Colleen Salerno
• Deanna Salerno, PHARMD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Nov 19, 2018; 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.