Nawal Dairi

Primary specialty

DentistTaxonomy code 122300000X

License

019.037345 Issued in IL

Practice address

2031 E Grand Ave
Lindenhurst, IL 60046-9041

Phone

(847) 265-9070

NPI assigned

Jul 20, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1992625925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 OLD BARRINGTON RD",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600107518",
            "telephone_number": "847-609-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 E GRAND AVE",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469041",
            "telephone_number": "847-265-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIRI",
        "first_name": "NAWAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.037345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renuka N Desai, M.D.
• Kristin Dietiker
• Bradley Dietz, PHARM.D.

• All providers in Lindenhurst, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.