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NPI Code Detail

MEDICARE: DR. BEHZAD SANEI D.M.D

MEDICARE: DR. BEHZAD SANEI D.M.D
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
11223G0001XGeneral Practice Dentistry019.028529IL

General Provider Information

NPI Number : 1164725131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEHZAD SANEI D.M.D
Provider Business Mailing Address
First Line : 5821 DEMPSTER ST
Second Line :
City : MORTON GROVE
State : IL
Zip : 60053-3028
Country : US
Telephone Number : 847-581-1942
Fax Number : 847-581-1943
Provider Business Practice Location Address
First Line : 5821 DEMPSTER ST
Second Line :
City : MORTON GROVE
State : IL
Zip : 60053-3028
Country : US
Telephone Number : 847-581-1942
Fax Number : 847-581-1943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2010
Last Update Date : 04/22/2026

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