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NPI Code Detail

MEDICARE: JASMIN GHASEMI DMD

MEDICARE:   JASMIN  GHASEMI  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
11223G0001XGeneral Practice Dentistry019035247IL

General Provider Information

NPI Number : 1881496412
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN GHASEMI DMD
Provider Business Mailing Address
First Line : 5621 W MONTROSE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-1830
Country : US
Telephone Number : 773-427-1000
Fax Number :
Provider Business Practice Location Address
First Line : 5621 W MONTROSE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-1830
Country : US
Telephone Number : 773-427-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2025
Last Update Date : 03/25/2025

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Directions to “ JASMIN GHASEMI DMD” Practice Location

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