Active NPI
Mireille Camille Halim, DDS
- General Practice Dentistry
- Morton Grove, IL
National Provider Identifier
1861560211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 8930 Waukegan Rd Ste 110
Morton Grove, IL 60053-2116 - Phone
- (847) 990-0897
- Fax
- (847) 967-0400
- NPI assigned
- Dec 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
8930 Waukegan Rd Ste 110
Morton Grove, IL 60053-2116
Mailing address
8930 Waukegan Rd Ste 110
Morton Grove, IL 60053-2116
Phone (847) 990-0897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019026971 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861560211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 WAUKEGAN RD STE 110",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532116",
"telephone_number": "847-990-0897",
"fax_number": "847-967-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 WAUKEGAN RD STE 110",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532116",
"telephone_number": "847-990-0897",
"fax_number": "847-967-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALIM",
"first_name": "MIREILLE",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.