MEDICARE: AMREEN BHALLA DMD

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	019036524	IL

General Provider Information

NPI Number	:	1689546509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMREEN BHALLA DMD

Provider Business Mailing Address
First Line	:	531 PARKSIDE DR
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-3976
Country	:	US
Telephone Number	:	630-765-4255
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 N ROOT ST
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60505-3429
Country	:	US
Telephone Number	:	630-800-1137
Fax Number	:

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

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	12/01/2025

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Directions to “ AMREEN BHALLA DMD” Practice Location

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