Shahrbanoo Fadavi, D.D.S.,M.S. is a pediatric dentistry dentist in Skokie, IL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Shahrbanoo Fadavi, D.D.S.,M.S. NPI is 1750461737. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4833 CHURCH ST
801 S. POLINA
SKOKIE, IL
ZIP 60077-357
Phone: (847) 673-7118
The NPI 1750461737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.