IndividualActive
Othman Rezki, DMD
NPI 1255986576 · Oral & Maxillofacial Surgery (D.M.D.) · Chicago, IL
Provider details
- NPI number
- 1255986576
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 002120 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
1900 W Polk St # 611
Chicago, IL 60612-3723
Phone: (312) 864-0200
Approximate (ZIP-level) locationGet directions
Mailing address
4372 Commercial Way
Spring Hill, FL 34606-1965
Registry dates
- Enumerated
- 2019-08-04
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.