Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tariq Imad Ghazawi, DMD

Individual provider Dentist · NPI 1760226195

Dr. Tariq Imad Ghazawi, DMD is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5521 S Kedzie Ave Unit 105
Chicago, IL 60629-2448
Phone: (773) 434-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.035241 (IL)

Record details

NPI number1760226195
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

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