MEDICARE: DR. SAAD KHIZAR USMANI BDS, MSD

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	122300000X	Dentist	019.035545	IL
2	1223P0300X	Periodontics	021.003399	IL
3	1223P0300X	Periodontics	0401418397	VA

General Provider Information

NPI Number	:	1669928685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAAD KHIZAR USMANI BDS, MSD

Provider Business Mailing Address
First Line	:	111 N WABASH AVE STE 812
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1912
Country	:	US
Telephone Number	:	312-273-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N WABASH AVE STE 812
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1912
Country	:	US
Telephone Number	:	312-273-9350
Fax Number	:

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

Provider Enumeration Date	:	08/30/2016
Last Update Date	:	04/21/2026

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