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1533 Ellinwood Ave Des Plaines IL 60016-4553 | |
| (773) 841-1195 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1533 Ellinwood Ave, Des Plaines, Illinois |
| Authorized Official Name and Position | Mohammed Saim Jabbar (OWNER/MANAGER/DENTIST) |
| Authorized Official Contact | 7738411195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1533 Ellinwood St Des Plaines IL 60016-4553 Ph: (847) 582-3352 | 1533 Ellinwood Ave Des Plaines IL 60016-4553 Ph: (773) 841-1195 |
| NPI Number | 1710662838 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710662838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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