Provider Demographics
NPI:1386814440
Name:THOBANI, NASIMA (DDS)
Entity Type:Individual
Prefix:
First Name:NASIMA
Middle Name:
Last Name:THOBANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 S ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8169
Mailing Address - Country:US
Mailing Address - Phone:630-236-0500
Mailing Address - Fax:630-236-0372
Practice Address - Street 1:609 S ROUTE 59
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8169
Practice Address - Country:US
Practice Address - Phone:630-236-0500
Practice Address - Fax:630-236-0372
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist