Khalil Salam Jarrad Salomon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.035316 Issued in IL

Practice address

15544 Cicero Ave
Oak Forest, IL 60452-3602

Phone

(708) 518-3001

NPI assigned

Jul 9, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• HS Associates

  • Dental Clinic/Center
  • Oak Forest, IL
  • NPI 1083494868
  NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1831936780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 N KIMBALL AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255415",
            "telephone_number": "404-906-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15544 CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523602",
            "telephone_number": "708-518-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRAD SALOMON",
        "first_name": "KHALIL",
        "middle_name": "SALAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.035316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Jacob, PT
• Rama D Jager, M.D.
• Farrukh Jahan, MD
• Felicia R James, PTA
• Jamie Gilmartin Licensed Clinical Professional Counselor
• Sheela Jayaram, M.D.
• Gia Michelle Jemilo, MHS, CCC-SLP
• Timothy Michael Jenkins, M.A.
• Jill H. Austin, DPM
• John G. Hohner D.O., S.C.

• General Practice Dentistry in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.