NPI 1114916129

Shafeeq H Bader, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Glendale Heights, IL

Practice location

Address: 148 E Army Trail Rd, Glendale Heights, IL 60139-1647
Phone: (224) 698-1472
Fax: (224) 653-4878
Mailing address: 830 Clover Ridge CT, Itasca, IL 60143-2892

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 019025521 (IL)

Other Oral & Maxillofacial Surgery providers in Illinois →

Dentist

Dental Providers Taxonomy 122300000X Licence 019025521 (IL)

Other Dentist providers in Illinois →

Registry record

NPI: 1114916129
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2005
Record last updated: 7 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.