Provider Demographics
NPI:1457919557
Name:BAKIR, YASMIN OBAIDI (DMD)
Entity Type:Individual
Prefix:DR
First Name:YASMIN
Middle Name:OBAIDI
Last Name:BAKIR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 N LARRABEE ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-2095
Mailing Address - Country:US
Mailing Address - Phone:571-354-3230
Mailing Address - Fax:
Practice Address - Street 1:1317 N LARRABEE ST UNIT 301
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-2095
Practice Address - Country:US
Practice Address - Phone:571-354-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019032097122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist