Healthcare Provider Details

I. General information

NPI: 1528974474
Provider Name (Legal Business Name): ADAM HISHMEH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 LINCOLN HWY STE F
OLYMPIA FIELDS IL
60461-1961
US

IV. Provider business mailing address

8926 W 170TH ST
ORLAND HILLS IL
60487-7211
US

V. Phone/Fax

Practice location:
  • Phone: 708-747-6474
  • Fax: 708-747-6555
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.037469
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: