Provider Demographics
NPI:1659583524
Name:AZIZ, HAMMAD T (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAMMAD
Middle Name:T
Last Name:AZIZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 RANDALL CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-5009
Mailing Address - Country:US
Mailing Address - Phone:630-907-1112
Mailing Address - Fax:
Practice Address - Street 1:601 RANDALL CROSSING LN
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-5009
Practice Address - Country:US
Practice Address - Phone:630-907-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2020-11-24
Deactivation Date:2009-09-10
Deactivation Code:
Reactivation Date:2014-02-26
Provider Licenses
StateLicense IDTaxonomies
IL0190247821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1851519789OtherOFFICE NPI
IL1659583524OtherINDIVIDUAL NPI