Organization Active NPI

Floss Lincoln Park PLLC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1730928201
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FLOSS LINCOLN PARK PLLC
Practice address
1439 W Fullerton Ave
Chicago, IL 60614-2030
Phone
(313) 506-0795
Fax
(773) 586-5534
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Dr. Islam Naem, DDS
Title
Partner/Owner
Phone
(313) 506-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1439 W Fullerton Ave
Chicago, IL 60614-2030

Mailing address

1439 W Fullerton Ave
Chicago, IL 60614-2030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1730928201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142030",
            "telephone_number": "313-506-0795",
            "fax_number": "773-586-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS LINCOLN PARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "NAEM",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "313-506-0795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 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.