Active NPI
Mina Marie Makvandi, DMD
- General Practice Dentistry
- Skokie, IL
National Provider Identifier
1447182746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019037177
- Practice address
- 9235 Skokie Blvd
Skokie, IL 60077-1342 - Phone
- (847) 379-1103
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019037177 | IL | Primary |
Addresses
Primary practice location
9235 Skokie Blvd
Skokie, IL 60077-1342
Mailing address
355 N Halsted St Apt 901
Chicago, IL 60661-2348
Phone (469) 563-4950
Other practice location 1
1061 S Roselle Rd
Schaumburg, IL 60193-3900
Phone (847) 565-1545
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1447182746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 N HALSTED ST APT 901",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606612348",
"telephone_number": "469-563-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9235 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771342",
"telephone_number": "847-379-1103"
}
],
"practiceLocations": [
{
"address_1": "1061 S Roselle Rd",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601933900",
"country_code": "US",
"telephone_number": "847-565-1545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKVANDI",
"first_name": "MINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019037177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.