Organization
MOHAMMAD R EKHTERA, DDS. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD R EKHTERA DDS (PRESIDENT)
(224) 875-0343
Entity
Organization
Contact information
Practice address
3190 E. ELSTON AVE, CHICAGO, IL 60618-7129
(773) 564-9916
(872) 203-9984
Mailing address
1700 WASHINGTON AVE, WILMETTE, IL 60091-2421
(224) 875-0343
(872) 203-9984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31901441
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005436
—
IL
Enumeration date
08/29/2008
Last updated
10/20/2025
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