Tayseer a Ibrahim DDS PC
Tayseer a Ibrahim DDS PC is a Dentist in Beach Park, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11316 W Wadsworth RdBeach Park, IL 60099-3367
Phone: (847) 872-5530
Fax: (847) 872-1683
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 01925457 (IL) |
|---|
Record details
| NPI number | 1235356635 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tayseer Ibrahim — President · (847) 872-5530 |
| Other names | Wadsworth Dental; Wadsworth Dental |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | January 22, 2021 |
| Certification date | January 22, 2021 |
| Mailing address | 11316 W Wadsworth Rd, Beach Park, IL 60099-3367 |