Active NPI
Amina Quadri
- Dentist
- Chicago, IL
National Provider Identifier
1588048292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019030261
- Practice address
- 7250 S Cicero Ave Ste F
Chicago, IL 60629-5849 - Phone
- (708) 496-8896
- NPI assigned
- Jul 13, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019030261 | IL | Primary |
Addresses
Primary practice location
7250 S Cicero Ave Ste F
Chicago, IL 60629-5849
Mailing address
3721 Dory Cir E
Hanover Park, IL 60133-6270
Phone (708) 863-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019030261 | Medicaid | IL |
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 |
|---|---|---|---|
| 019030261 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Town | Past | Accepting new patients |
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
- Oakbrook Terrace, IL
- NPI 1891116356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1588048292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 DORY CIR E",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601336270",
"telephone_number": "708-863-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 S CICERO AVE STE F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606295849",
"telephone_number": "708-496-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUADRI",
"first_name": "AMINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019030261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019030261",
"state": "IL"
}
],
"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 Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.