Muna Siraj Hakim, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019033520 Issued in IL

Practice address

45 S Park Blvd Ste 105
Glen Ellyn, IL 60137-6299

Phone

(630) 756-5151

NPI assigned

Feb 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mhakim115436@uihealth.direct-ci.com

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1609333459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S INDIANA AVE APT 6212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053115",
            "telephone_number": "609-598-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S PARK BLVD STE 105",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376299",
            "telephone_number": "630-756-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 S Delano Ct W Ste B202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606053734",
            "country_code": "US",
            "telephone_number": "312-436-0593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "MUNA",
        "middle_name": "SIRAJ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019033520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeremy David Hamman, BS
• Colin M Hammer, LCSW

• Pediatric Dentistry in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.