Grand Yeoman Park Dental Care

LBN: Tayseer A Ibrahim Dds Pc
Grand Yeoman Park Dental Care is an health care organization with primary practice located at 11316 W Wadsworth Rd , Beach Park IL 60099-3367. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tayseer A Ibrahim Dds Pc can be contacted via phone (847) 872-5530, or through Ibrahim, Tayseer Ahmed via phone (847) 872-5530.

Contact Information

Primary practice address
11316 W Wadsworth Rd Beach Park IL 60099-3367
Phone: (847) 872-5530
Fax: (847) 872-1683
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Tayseer Ahmed Doctor of Dental Surgery (DDS)
Phone: (847) 872-5530

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19-025457 Illinois

Profile Details

NPI number 1043209257
LBN Legal business name Tayseer A Ibrahim Dds Pc
DBA Doing business as Grand Yeoman Park Dental Care
Authorized official Ibrahim, Tayseer Ahmed Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Jan 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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