Active NPI
Ingrid Harb
- Dentist
- Berwyn, IL
National Provider Identifier
1639972375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.035248
- Practice address
- 2215 Oak Park Ave
Berwyn, IL 60402-2220 - Phone
- (708) 247-5735
- NPI assigned
- Mar 28, 2025
- Last updated
- Mar 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 019.035248 | IL | Primary |
Addresses
Primary practice location
2215 Oak Park Ave
Berwyn, IL 60402-2220
Mailing address
160 N Elizabeth St Apt 1217
Chicago, IL 60607-1675
Phone (872) 337-0613
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 |
|---|---|---|---|
| 019.035248 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1639972375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 N ELIZABETH ST APT 1217",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071675",
"telephone_number": "872-337-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 OAK PARK AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022220",
"telephone_number": "708-247-5735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARB",
"first_name": "INGRID",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.035248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.