Provider Demographics
NPI:1194024984
Name:DABAH, WAJDE (MD)
Entity Type:Individual
Prefix:
First Name:WAJDE
Middle Name:
Last Name:DABAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:455 S ROSELLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2919
Mailing Address - Country:US
Mailing Address - Phone:847-352-5511
Mailing Address - Fax:847-352-5585
Practice Address - Street 1:455 S ROSELLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2919
Practice Address - Country:US
Practice Address - Phone:847-352-5511
Practice Address - Fax:847-352-5585
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-20
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036138411207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine