Provider Demographics
NPI:1376927293
Name:QUERISHI, FARIHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:FARIHA
Middle Name:
Last Name:QUERISHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 MAIN ST STE 140
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1354
Mailing Address - Country:US
Mailing Address - Phone:630-796-0769
Mailing Address - Fax:630-796-0768
Practice Address - Street 1:6325 MAIN ST STE 140
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-1354
Practice Address - Country:US
Practice Address - Phone:630-796-0769
Practice Address - Fax:630-796-0768
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019302671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice