MEDICARE: ANALIA TAHIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019.033276	IL

General Provider Information

NPI Number	:	1770220188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANALIA TAHIR

Provider Business Mailing Address
First Line	:	801 S PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-7210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N CLARK ST STE 600
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4782
Country	:	US
Telephone Number	:	312-274-0308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2022
Last Update Date	:	04/24/2026

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Directions to “ ANALIA TAHIR ” Practice Location

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