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

Mustafa Siddiq Ali, DMD

Individual provider Dentist · NPI 1134859630

Mustafa Siddiq Ali, DMD is a Dentist in Chicago, Illinois. Graduated from Univ of Illinois at Chicago College of Dentistry in 2022, 4 years ago. Licensed in Illinois.

Years since qualifying
4
Trained at
Univ of Illinois at Chicago College of Dentistry
Licensed in
IL
In the registry since
2022
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

4630 S Bishop St
Chicago, IL 60609-3240
Phone: (773) 523-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033703 (IL)

Record details

NPI number1134859630
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 11, 2022
Mailing address4630 S Bishop St, Chicago, IL 60609-3240

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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