Healthcare Provider Details

I. General information

NPI: 1518892587
Provider Name (Legal Business Name): NOOR ALJANABI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 W ROLLINS RD
ROUND LAKE BEACH IL
60073-1350
US

IV. Provider business mailing address

309 E RAND RD STE 278
ARLINGTON HEIGHTS IL
60004-3103
US

V. Phone/Fax

Practice location:
  • Phone: 847-740-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.037120
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: