Aisha Omer

Dentist · Chicago, IL

Individual Active NPI

NPI number 1750741096

Practice location

830 W Diversey Pkwy
Chicago, IL 60614-1454
Phone
(571) 447-1787

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NPI record

NPI
1750741096
Entity type
Individual (Type 1)
Enumeration date
February 29, 2016
Last updated
June 7, 2021
Certified
June 7, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019031564 IL

Mailing address

1910 S State St Apt 228
Chicago, IL 60616-4424

About Aisha Omer

Aisha Omer is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 830 W Diversey Pkwy, Chicago, IL 60614-1454. The NPI number 1750741096 was assigned on February 29, 2016 and the record was last updated on June 7, 2021.

Aisha Omer lists a license in the registry: #019031564 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Aisha Omer?

The NPI number is 1750741096.

What is the phone number of Aisha Omer?

The phone number listed for the practice location is (571) 447-1787.

Where is Aisha Omer located?

830 W Diversey Pkwy, Chicago, IL 60614-1454.

What is the taxonomy code for Aisha Omer?

The primary taxonomy code is 122300000X – Dentist.

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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