Qaisi, Mohammed K

Qaisi, Mohammed K is an individual health care provider with primary practice located at 1969 W Ogden Ave # Clinicd , Chicago IL 60612-3765. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Qaisi, Mohammed K can be contacted via phone (128) 645-1633.

Contact Information

Primary practice address
1969 W Ogden Ave # Clinicd Chicago IL 60612-3765
Phone: (128) 645-1633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019.030516 Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 036.139464 Illinois

Profile Details

NPI number 1679783088
LBN Legal business name Qaisi, Mohammed K
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Apr 28th, 2021 - about 4 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 1679783088 NPPES
Louisiana MEDICAID 21459

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