Azhari, Suzi

Azhari, Suzi is an individual health care provider with primary practice located at 373 Summit St , Elgin IL 60120-3733. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Azhari, Suzi can be contacted via phone (847) 888-9000.

Contact Information

Primary practice address
373 Summit St Elgin IL 60120-3733
Phone: (847) 888-9000
Fax: (847) 888-9321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1356331490
LBN Legal business name Azhari, Suzi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356331490 NPPES
Illinois MEDICAID 1004915

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