Azadeh Mary Afzali, DDS
Dentist, General Practice in Glenview, IL. Individual provider (NPI-1).
NPI number1275796237
StatusActive
Last updated in NPPESMar 12, 2018
Details
- NPI
- 1275796237
- Entity type
- Individual (NPI-1)
- Name
- Azadeh Mary Afzali
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2008
- Last updated
- Mar 12, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019-022130 | IL | Yes |
Practice location
946 Harlem AveGlenview, IL 60025-4275
Phone 847-724-3969 · Fax 847-724-3972
Mailing address
946 Harlem AveGlenview, IL 60025-4275
Phone 847-724-3969 · Fax 847-724-3972
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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