Provider Demographics
NPI:1730474263
Name:JAAMOUR, NAJWA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAJWA
Middle Name:
Last Name:JAAMOUR
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 1:635 N DEARBORN ST APT 2704
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-6745
Mailing Address - Country:US
Mailing Address - Phone:248-917-2300
Mailing Address - Fax:
Practice Address - Street 1:6508 W ARCHER AVE
Practice Address - Street 2:#5
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2423
Practice Address - Country:US
Practice Address - Phone:773-586-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190293261223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice