OrganizationActive
Oral & Maxillofacial
NPI 1730898933 · Oral and Maxillofacial Surgery (Dentist) · Chicago, IL
Provider details
- NPI number
- 1730898933
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mohammed Qaisi, Owner(773) 296-7645
Specialties & taxonomies
Dental Providers
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25 E Washington St Ste 825
Chicago, IL 60602-1722
Phone: (773) 296-7645
Fax: (773) 295-1023
Street-level locationGet directions
Mailing address
25 E Washington St Ste 825
Chicago, IL 60602-1722
Registry dates
- Enumerated
- 2022-11-16
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.