MEDICARE: EVER DENTAL STUDIO

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1184503682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVER DENTAL STUDIO

Provider Business Mailing Address
First Line	:	360 E SOUTH WATER ST APT 4906
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-4160
Country	:	US
Telephone Number	:	630-209-8902
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 N MICHIGAN AVE STE 1901
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-3624
Country	:	US
Telephone Number	:	630-209-8902
Fax Number	:

Authorized Official
Title or Position	:	DR.
Name	:	RANEEM ALHAKIM
Credential	:
Telephone Number	:	630-209-8902

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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Directions to “EVER DENTAL STUDIO ” Practice Location

Language	Start Address	Practice Location

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