Organization Active NPI

Nida a. Marouf, D.M.D., LTD.

  • Dentist
  • Chicago, IL
National Provider Identifier
1427222645
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NIDA A. MAROUF, D.M.D., LTD.
Practice address
5787 N Lincoln Ave
Chicago, IL 60659-4722
Phone
(773) 293-0606
Fax
(773) 751-5237
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Nida A. Marouf, D.M.D.NPI 1780673764
Title
President/Dentist
Phone
(773) 293-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

5787 N Lincoln Ave
Chicago, IL 60659-4722

Mailing address

2721 Summit Ave
Highland Park, IL 60035-1325
Phone (847) 681-2229

National Provider Directory

National Provider Directory

Locations

5787 N Lincoln Ave
Chicago, IL 60659
Phone (773) 293-0606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1427222645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SUMMIT AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351325",
            "telephone_number": "847-681-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594722",
            "telephone_number": "773-293-0606",
            "fax_number": "773-751-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDA A. MAROUF, D.M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MAROUF",
        "authorized_official_first_name": "NIDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "773-293-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "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 Apr 18, 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.