Healthcare Provider Details

I. General information

NPI: 1689059297
Provider Name (Legal Business Name): AMER ATASSI D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AMER ATASSI D.M.D.

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8342 LEMONT RD
DARIEN IL
60561-1510
US

IV. Provider business mailing address

8342 LEMONT RD
DARIEN IL
60561-1510
US

V. Phone/Fax

Practice location:
  • Phone: 630-581-0000
  • Fax: 331-200-5020
Mailing address:
  • Phone: 630-581-0000
  • Fax: 630-200-5020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number019030111
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: