1. Home
  2. Directory
  3. Illinois
  4. Riverdale
  5. Dentist
  6. NPI Profile

KHALED BASSAM BISHAWI
NPI 1205676939
Dentist - General Practice in Riverdale, IL

Active since May 30, 2024
61 W 144TH ST, RIVERDALE, IL 60827(708) 849-8627 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Khaled Bassam Bishawi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALED BASSAM BISHAWI (NPI 1205676939) is an individual general practice provider in Riverdale, Illinois, licensed in Illinois (019.035107) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1205676939
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKHALED BASSAM BISHAWI
Location Address61 W 144TH STRiverdale, IL 60827-2850
Mailing Address9759 Ridgeland Ave Apt 2eOak Lawn, IL 60453-2790 · (708) 374-2034
Phone(708) 849-8627
Sole ProprietorYes
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1205676939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.035107
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
61 W 144TH ST, Riverdale, IL 60827
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVANHOE DENTAL GROUP, LTD.
Dentist (General Practice)
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 849-8627
DR. JANANI KOTESHWARAN GURUKKAL DMD
Dentist (General Practice)
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 419-2204
SALEM & SHAH DENTAL GROUP, PLLC
Dentist (General Practice)
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 849-8627
DR. NATACHA ANNE HERARD-EXORPHE DDS
Dentist
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 849-8627
DR. CRYSTAL R PATEL DDS
Dentist
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 849-8627
DR. KEVIN L. PATTERSON DDS
Dentist
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 849-8627
IRENE GULA DDS
Dentist
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 849-8627
DR. FORINNA T CHEN DDS
Dentist (General Practice)
61 W 144TH ST
RIVERDALE, IL 60827
Cook County (708) 849-8627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khaled Bishawi's NPI number?

The NPI number for Khaled Bishawi is 1205676939. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Khaled Bishawi located?

Khaled Bishawi practices at 61 W 144th St, Riverdale, IL 60827. The listed phone number is (708) 849-8627.

What is Khaled Bishawi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Khaled Bishawi was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.