Provider Demographics
NPI:1912152349
Name:ARAIN, NADIA AZIZ (DDS)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:AZIZ
Last Name:ARAIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 S CASS AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4456
Mailing Address - Country:US
Mailing Address - Phone:630-769-9940
Mailing Address - Fax:630-769-9936
Practice Address - Street 1:7515 S CASS AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4456
Practice Address - Country:US
Practice Address - Phone:630-769-9940
Practice Address - Fax:630-769-9936
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019026463122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist