Healthcare Provider Details

I. General information

NPI: 1265351662
Provider Name (Legal Business Name): RAMA NASER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 S CICERO AVE
CICERO IL
60804-3638
US

IV. Provider business mailing address

148 SILO RIDGE RD N
ORLAND PARK IL
60467-7315
US

V. Phone/Fax

Practice location:
  • Phone: 708-863-2000
  • Fax:
Mailing address:
  • Phone: 636-730-0264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.037300
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: