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

Tayseer a Ibrahim DDS PC

Organization General Practice Dentistry · NPI 1043209257

Tayseer a Ibrahim DDS PC is a General Practice Dentistry in Beach Park, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11316 W Wadsworth Rd Ste 101
Beach Park, IL 60099-3367
Phone: (847) 872-5530
Fax: (847) 872-1683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19-025457 (IL)

Record details

NPI number1043209257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tayseer Ibrahim — President · (847) 872-5530
Other names Grand Yeoman Park Dental Care
NPI enumeratedOctober 19, 2005
Last updated in NPPESSeptember 2, 2025
Certification dateOctober 29, 2024
Mailing address11316 W Wadsworth Rd Ste 101, Beach Park, IL 60099-3367

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