Active NPI
Ali Sabbar
- Dentist
- Chicago, IL
National Provider Identifier
1396237459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019031618
- Practice address
- 4501 S State St
Chicago, IL 60609-3758 - Phone
- (773) 548-0600
- NPI assigned
- Jun 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019031618 | IL | Primary |
Addresses
Primary practice location
4501 S State St
Chicago, IL 60609-3758
Mailing address
679 N Katherine LN Unit a
Addison, IL 60101-1599
Phone (638) 873-0375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019031618 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maks Dental Partners PLLC | Current | Accepting new patients |
Locations
1753 W Algonquin Rd
Mt Prospect, IL 60056
Phone (847) 952-1905
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Mount Prospect, IL
- NPI 1063134716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1396237459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 N KATHERINE LN UNIT A",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011599",
"telephone_number": "638-873-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606093758",
"telephone_number": "773-548-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABBAR",
"first_name": "ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.