Healthcare Provider Details

I. General information

NPI: 1558200527
Provider Name (Legal Business Name): TAHIR & AWAIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 63RD STREET
DOWNERS GROVE IL
60516
US

IV. Provider business mailing address

2S391 CHAUCER CT
GLEN ELLYN IL
60137-7095
US

V. Phone/Fax

Practice location:
  • Phone: 440-503-6081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SALIHA AWAIS
Title or Position: MEMBER
Credential:
Phone: 440-503-6081