Marmar Modarressi, DDS, MS

Periodontics · Chicago, IL

Individual Active NPI

NPI number 1699973636

Practice location

845 N Michigan Ave Ste 940w
Chicago, IL 60611-2216
Phone
(312) 751-1020

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NPI record

NPI
1699973636
Entity type
Individual (Type 1)
Enumeration date
July 10, 2007
Last updated
April 10, 2024
Certified
April 10, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 019.028205 IL

About Dr. Modarressi

Marmar Modarressi, DDS, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216. The NPI number 1699973636 was assigned on July 10, 2007 and the record was last updated on April 10, 2024.

Dr. Modarressi lists a license in the registry: #019.028205 (IL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marmar Modarressi, DDS, MS?

The NPI number is 1699973636.

What is the phone number of Dr. Modarressi?

The phone number listed for the practice location is (312) 751-1020.

Where is Dr. Modarressi located?

845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216.

What is the taxonomy code for Dr. Modarressi?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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