Provider Demographics
NPI:1427228311
Name:SAQIB H. MOHAJIR, D.M.D.
Entity Type:Organization
Organization Name:SAQIB H. MOHAJIR, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAQIB
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOHAJIR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:708-489-6222
Mailing Address - Street 1:11808 S PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:ALSIP
Mailing Address - State:IL
Mailing Address - Zip Code:60803-1608
Mailing Address - Country:US
Mailing Address - Phone:708-489-6222
Mailing Address - Fax:708-489-6901
Practice Address - Street 1:11808 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803-1608
Practice Address - Country:US
Practice Address - Phone:708-489-6222
Practice Address - Fax:708-489-6901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOHAMED K.H. MOHAJIR, D.D.S.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty