Provider Demographics
NPI:1265786719
Name:PARVEZ, MOHAMMED (DMD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:
Last Name:PARVEZ
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 1:440 N WABASH
Mailing Address - Street 2:APT 3003
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:630-222-5026
Mailing Address - Fax:
Practice Address - Street 1:440 N WABASH AVE
Practice Address - Street 2:APT 3003
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3549
Practice Address - Country:US
Practice Address - Phone:630-294-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019029218122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist