Provider Demographics
NPI:1003536269
Name:ABDUL DAYEM, TAWFIK
Entity Type:Individual
Prefix:DR
First Name:TAWFIK
Middle Name:
Last Name:ABDUL DAYEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9006 DEL PRADO DR APT 2N
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-5000
Mailing Address - Country:US
Mailing Address - Phone:312-774-2585
Mailing Address - Fax:
Practice Address - Street 1:55 S MAIN ST STE 241
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5377
Practice Address - Country:US
Practice Address - Phone:630-848-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.033762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist