Dr Shafeeq H Bader, DDS is a
Oral & Maxillofacial Surgery based in Glendale Heights, Illinois. Dr Shafeeq H Bader is licensed to practice in Illinois (license number 019025521) and his current practice location is
148 E Army Trail Rd, Glendale Heights, Illinois. He can be reached at his office (for appointments etc.) via phone at
(224) 698-1472.
NPI number for Dr Shafeeq H Bader is 1114916129 and his current mailing address is 830 Clover Ridge Ct, Itasca, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114916129.
Healthcare Provider's Profile
| Full Name | Dr Shafeeq H Bader |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 148 E Army Trail Rd, Glendale Heights, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114916129
- Provider Enumeration Date: 10/21/2005
- Last Update Date: 12/07/2023
Medical Identifiers
Medical identifiers for Dr Shafeeq H Bader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114916129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 019025521 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 019025521 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shafeeq H Bader is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shafeeq H Bader, DDS
830 Clover Ridge Ct,
Itasca, IL 60143-2892
Ph: (630) 773-1781 | Dr Shafeeq H Bader, DDS
148 E Army Trail Rd,
Glendale Heights, IL 60139-1647
Ph: (224) 698-1472 |
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