Individual
DR. MOHAMMAD REZA EKHTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3190 N. ELSTON AVE, CHICAGO, IL 60618-7129
(773) 564-9916
(872) 203-9984
Mailing address
3190 N. ELSTON AVE, CHICAGO, IL 60618-7129
(773) 564-9916
(872) 203-9984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019025849
IL
1223G0001X
General Practice Dentistry
Primary
019025849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005436
—
IL
Enumeration date
11/07/2005
Last updated
10/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us