Essof, Shameema
Essof, Shameema is an sole proprietor health care provider with primary practice located at 1328 W 127Th St , Calumet Park IL 60827-6129. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Essof, Shameema can be contacted via phone (708) 597-3131.Contact Information
Primary practice address
1328 W 127Th St
Calumet Park IL 60827-6129
Phone: (708) 597-3131
Fax: (708) 597-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019023113 | Illinois |
Profile Details
| NPI number | 1881766343 |
|---|---|
| LBN Legal business name | Essof, Shameema |
| Credentials | D.D.S0 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881766343 | NPPES |
| Illinois | MEDICAID | 1001773 |
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