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

Ismaeel Shanshal

Individual provider Dental Anesthesiology · NPI 1487174124

Ismaeel Shanshal is a Dental Anesthesiology in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
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Practice location Address checks out

811 W Wellington Ave
Chicago, IL 60657-5123
Phone: (773) 871-2188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence 019.031284 (IL)

Record details

NPI number1487174124
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2017
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address1900 W Polk St, Chicago, IL 60612-3723

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