Pilsen Dental Center

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002328 Issued in IL

Legal business name

PILSEN DENTAL CENTER

Practice address

2158 W Cermak Rd
Chicago, IL 60608-4040

Phone

(773) 823-1924

Fax

(773) 823-1674

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nuha Museitif Nakib

Title

Periodontist

Phone

(773) 823-1924

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1841563475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084040",
            "telephone_number": "773-823-1924",
            "fax_number": "773-823-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084040",
            "telephone_number": "773-823-1924",
            "fax_number": "773-823-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILSEN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "NAKIB",
        "authorized_official_first_name": "NUHA",
        "authorized_official_middle_name": "MUSEITIF",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "773-823-1924",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028803",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "021001685",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De-Ann Margaret Pillers, MD
• Pillpack LLC (Amazon Pharmacy #011)
• Carey M. Pilo, D.O.
• Malourdes Canete Pilones
• Pilsen Community Pediatrics S. C.
• Pilsen Dental Group
• Pilsen Eye Care PLLC
• Pilsen Little Village Community Mental Health Center (Pilsen Wellness Center, Inc.)
• Pilsen Little Village Community Mental Health Center (Pilsen Wellness Center)
• Pilsen Little Village Community Mental Health Center, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.