Individual
DR. RANEEM R SHEBLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12200 WESTERN AVE, SUITE 108, BLUE ISLAND, IL 60406-1398
(708) 385-3700
Mailing address
12200 WESTERN AVE, SUITE 108, BLUE ISLAND, IL 60406-1398
(708) 269-0284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028866
IL
Other
Enumeration date
05/30/2012
Last updated
11/18/2012
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