IndividualActive
Adiba Jagirdar, DMD
NPI 1417468315 · General Practice Dentistry · Northlake, IL
Provider details
- NPI number
- 1417468315
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 019.031290 (IL)
Specialties & taxonomies
Dental Providers
Practice location
75 W North Ave Ste 400
Northlake, IL 60164-2314
Phone: (708) 562-5100
Approximate (ZIP-level) locationGet directions
Mailing address
841 N York St Apt 302
Elmhurst, IL 60126-1249
Additional practice locations (1)
- 1701 N Larkin AveCrest Hill, IL 60403-1970Phone: (815) 741-9900
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.