Provider Demographics
NPI:1114727708
Name:CHICAGO IMPLANT STUDIO OF AURORA
Entity type:Organization
Organization Name:CHICAGO IMPLANT STUDIO OF AURORA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYEDAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:DANESH SANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-215-2487
Mailing Address - Street 1:914 SAINT STEPHENS GRN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2568
Mailing Address - Country:US
Mailing Address - Phone:203-215-2487
Mailing Address - Fax:
Practice Address - Street 1:2460 S EOLA RD STE K
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-6495
Practice Address - Country:US
Practice Address - Phone:331-257-7999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty