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

Hermosa Dental Clinic

Organization Dentist · NPI 1801887583

Hermosa Dental Clinic provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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Practice location Address checks out

2004 N Pulaski Rd
Chicago, IL 60639
Phone: (773) 342-5923
Fax: (773) 342-0835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1915779 (IL)

Record details

NPI number1801887583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sabah Khalifa — Owner · (773) 342-5923
Other names Dr Sabah H Khalifa Dds Pc
NPI enumeratedNovember 2, 2005
Last updated in NPPESAugust 22, 2020
Mailing address2004 N Pulaski Rd, Chicago, IL 60639

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