Provider Demographics
NPI:1184355729
Name:ZAIDI, AHMAD ASKARI (DMD)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:ASKARI
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 BENNETT DR
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-3348
Mailing Address - Country:US
Mailing Address - Phone:630-853-1456
Mailing Address - Fax:
Practice Address - Street 1:4317 S ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-3140
Practice Address - Country:US
Practice Address - Phone:773-832-5716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0338011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice