Provider Demographics
NPI:1265866388
Name:QADRI, SAEMA TEHSEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAEMA
Middle Name:TEHSEEN
Last Name:QADRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 N ALFRED AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-5262
Mailing Address - Country:US
Mailing Address - Phone:847-695-1300
Mailing Address - Fax:
Practice Address - Street 1:74 N ALFRED AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-5262
Practice Address - Country:US
Practice Address - Phone:847-695-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190295091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice