Provider Demographics
NPI:1982134425
Name:BAIG, SANA (DMD)
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:BAIG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SANA
Other - Middle Name:
Other - Last Name:MUNSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8516 MENARD AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053
Mailing Address - Country:US
Mailing Address - Phone:708-769-0853
Mailing Address - Fax:
Practice Address - Street 1:4368 W TOUHY AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712
Practice Address - Country:US
Practice Address - Phone:708-769-0853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857589122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist