Healthcare Provider Details

I. General information

NPI: 1346159480
Provider Name (Legal Business Name): SARAH ZAKI DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 N HALSTED ST APT 1702
CHICAGO IL
60661-2354
US

IV. Provider business mailing address

355 N HALSTED ST APT 1702
CHICAGO IL
60661-2354
US

V. Phone/Fax

Practice location:
  • Phone: 630-890-8472
  • Fax:
Mailing address:
  • Phone: 630-890-8472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number021003416
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019035634
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: