Individual provider · Type 1 NPI

Ismaeel Shanshal

Dental Anesthesiology · Chicago, IL

NPI number 1487174124 Active

Practice location

811 W Wellington Ave
Chicago, IL 60657-5123

Mailing address

1900 W Polk St
Chicago, IL 60612-3723

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004X019.031284 (IL)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

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About NPI 1487174124

Ismaeel Shanshal's National Provider Identifier is 1487174124, issued on Jun 23, 2017. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Chicago, IL. The record was last updated on Jun 18, 2024.