Individual
DR. DANA SUSAN SHABEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1812 BROADWAY ST, MELROSE PARK, IL 60160-2039
(708) 498-4410
(708) 498-1044
Mailing address
1812 BROADWAY ST, MELROSE PARK, IL 60160-2039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030981
IL
122300000X
Dentist
12012606A
IN
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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