Healthcare Provider Details

I. General information

NPI: 1225618606
Provider Name (Legal Business Name): RIYA CHOKSI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8957 W GOLF RD
NILES IL
60714-5812
US

IV. Provider business mailing address

8957 W GOLF RD
NILES IL
60714-5812
US

V. Phone/Fax

Practice location:
  • Phone: 847-297-4815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.035648
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: