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Mohammed Qaisi, DMD, MD — NPI 1679783088, Chicago, IL | NPI Central

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NPI 1679783088

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Mohammed Qaisi, DMD, MD

NPI 1679783088 · Oral & Maxillofacial Surgery (D.M.D.) · Chicago, IL

Provider details

NPI number: 1679783088
Entity type: Individual
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Credential: DMD, MD
Sex: Male
Sole proprietor: No
License: 019.030516 (IL)

Specialties & taxonomies

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense 036.139464 (IL)
Allopathic & Osteopathic Physicians
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 019.030516 (IL)
Dental Providers

Practice location

1969 W Ogden Ave # Clinicd

Chicago, IL 60612-3765

Phone: (128) 645-1633

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1969 W Ogden Ave

Chicago, IL 60612-3765

Additional practice locations (1)

2500 N State St
University of Mississippi Medical Center
Jackson, MS 39216-4500
Phone: (601) 815-1181
Fax: (601) 815-5306

Registry dates

Enumerated: 2007-05-23
Last updated: 2021-04-28
Certified: 2021-04-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.