Mundelein Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MUNDELEIN FAMILY DENTAL LLC

Practice address

718 Il-83
Mundelein, IL 60060

Phone

(847) 497-0092

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Sadia Ahmed, DDSNPI 1649652272

Title

Dentist

Phone

(847) 497-0092

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sadia Ahmed

  • Dentist
  • Mundelein, IL
  • NPI 1649652272
  NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1801671920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CARDINAL DR",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600477570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 IL-83",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "60060",
            "telephone_number": "847-497-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDELEIN FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-497-0092",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mundelein Chiropractic Decompression Center Service Corporation
• Mundelein Consol HS Dist 120
• Mundelein Dental Center
• Mundelein Dental Clinic LLC
• Mundelein Esd 75
• Georgette Hanna Murad, PHARMD
• Nadiya Sobolev DDS
• Jill K Nailor, RPH
• Michael Nicholas Nanos, RPH
• Kelly Marie Napolski, NP

• Dental Clinic/Center in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.