Active NPI
Nida a. Marouf, D.M.D., LTD.
- Dentist
- Chicago, IL
National Provider Identifier
1427222645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- Dentist
- Chicago, IL
- NPI 1780673764
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.