Provider Demographics
NPI:1265809388
Name:ATARCHI, ZAID
Entity type:Individual
Prefix:
First Name:ZAID
Middle Name:
Last Name:ATARCHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 HALSTED LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-5786
Mailing Address - Country:US
Mailing Address - Phone:773-334-8274
Mailing Address - Fax:
Practice Address - Street 1:2301 HALSTED LN
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-5786
Practice Address - Country:US
Practice Address - Phone:773-334-8274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210027581223P0300X
TX347381223P0300X
IL019030413122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0300XDental ProvidersDentistPeriodontics