Individual
DR. SHAFEEQ H BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
148 E ARMY TRAIL RD, GLENDALE HEIGHTS, IL 60139-1647
(224) 698-1472
(224) 653-4878
Mailing address
830 CLOVER RIDGE CT, ITASCA, IL 60143-2892
(630) 773-1781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019025521
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019025521
IL
Other
Enumeration date
10/21/2005
Last updated
12/07/2023
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