Kashif Abdul Razzak, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019035394 Issued in IL

Practice address

4501 S State St
Chicago, IL 60609-3758

Phone

(773) 548-0600

NPI assigned

Apr 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Care Center LTD

  • Dentist
  • Villa Park, IL
  • NPI 1952560674
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1700528775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HOMEWOOD DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093758",
            "telephone_number": "773-548-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "IL",
            "postal_code": "601813504",
            "country_code": "US",
            "telephone_number": "630-953-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZZAK",
        "first_name": "KASHIF",
        "middle_name": "ABDUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.004440",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019035394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lillian Razo, LCSW
• Almurtada Razok, MD
• Razon Medical Clinic, Inc.
• Angela Razon, PSYD.
• Samiya Razvi, MD
• Adnan Abdur Razzaque
• RB Counseling & Consulting LLC
• RC Services and Rentals, LLC
• RCH Brain & Mind Center Il, PC
• Rci (WRS), Inc.

• All providers in Chicago, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.