IndividualActive
Abhishek Nagaraj, DDS
NPI 1154739571 · General Practice Dentistry · Chicago, IL
Provider details
- NPI number
- 1154739571
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019.029975 (IL)
Mailing address
13247 S Baltimore Ave
Chicago, IL 60633-1431
Registry dates
- Enumerated
- 2014-07-29
- Last updated
- 2020-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.