Hayder F. Bahrani, D.D.S.
Individual provider Active NPI Dentist · Vernon Hills, IL
NPI 1740380591 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740380591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- Practice address
- 1423 N Pinehurst Dr
Vernon Hills, IL 60061-1230 - Phone
- (847) 984-2527
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-026312 | IL | MD | Dentist |
| 5679-015 | WI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5679-015 | WI | |
| Dentist | 122300000X | IL | Yes |
Addresses
Primary practice location
1423 N Pinehurst Dr
Vernon Hills, IL 60061-1230
Mailing address
1423 N Pinehurst Dr
Vernon Hills, IL 60061-1230
Phone (847) 984-2527
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.