MEDICARE: DR. SAID ALBAREEDI D.D.S.,M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry		IL

General Provider Information

NPI Number	:	1083739098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAID ALBAREEDI D.D.S.,M.S.

Provider Business Mailing Address
First Line	:	PO BOX 146417
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-6300
Country	:	US
Telephone Number	:	773-282-0013
Fax Number	:	630-789-2473

Provider Business Practice Location Address
First Line	:	4251 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-1642
Country	:	US
Telephone Number	:	773-282-0013
Fax Number	:	630-789-2473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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