Mirza Maaz Baig, DMD

Individual provider Active NPI Dentist · Morris, IL

NPI 1720727720 · NPPES record last updated May 31, 2022

Key facts

NPI
1720727720
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
019033612 (IL)
Practice address
1010 W US Route 6
Morris, IL 60450-8942
Phone
(815) 942-0010
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
019033612ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Windy City Anesthesia PC Past
since Jun 5, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019033612 IL Yes

Addresses

Primary practice location

1010 W US Route 6
Morris, IL 60450-8942

Mailing address

1010 W US Route 6
Morris, IL 60450-8942
Phone (815) 942-0010

Other providers in Morris, IL

All providers in Morris, IL · Dentist in Illinois

Sources for this page

Verify at the official NPI Registry.