Provider Demographics
NPI:1205381563
Name:FLOSS AND COMPANY, PC
Entity Type:Organization
Organization Name:FLOSS AND COMPANY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISLAM
Authorized Official - Middle Name:SAID
Authorized Official - Last Name:NAEM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-424-6401
Mailing Address - Street 1:7108 W ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-2204
Mailing Address - Country:US
Mailing Address - Phone:773-586-5522
Mailing Address - Fax:773-586-5534
Practice Address - Street 1:7108 W ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2204
Practice Address - Country:US
Practice Address - Phone:773-586-5522
Practice Address - Fax:773-586-5534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028042261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental