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Search › Illinois › 1223G0001X

Tayseer Ibrahim

NPI 1336163484 · on the registry since 2006

Practice

Address
11316 W Wadsworth Rd
Beach Park, IL 60099
Phone
(847) 872-5530
Fax
(847) 872-1683
Organisation at this address
Maves Medical Ltd
Tayseer A Ibrahim Dds Pc
Tayseer A Ibrahim Dds Pc
Dr John T Patenaude & Dr David P Picchietti Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois