SearchIllinois204E00000X

Mohammed Qaisi, DMD, MD

NPI 1679783088 · on the registry since 2007

Practice

Address
1969 W Ogden Ave # Clinicd
Chicago, IL 60612
Phone
(128) 645-1633

Additional practice sites

  • 2500 N State St, Jackson, MS

Registry record

Primary taxonomy
204E00000X
204E00000X
Also registered as
1223S0112X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois