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

Shadi Mohebi

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1457199689

Shadi Mohebi is an Orthodontics and Dentofacial Orthopedics Dentistry in Champaign, Illinois. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

1715 Broadmoor Dr Ste A
Champaign, IL 61821-5984
Phone: (217) 886-8217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DL15906 (MA)

Record details

NPI number1457199689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2024
Last updated in NPPESJuly 20, 2024
Certification dateJuly 20, 2024
Mailing address4008 Turnberry Dr, Champaign, IL 61822-8512

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