Provider Demographics
NPI:1295359586
Name:YOUSEF, PALDIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:PALDIN
Middle Name:
Last Name:YOUSEF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E DELAWARE PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1449
Mailing Address - Country:US
Mailing Address - Phone:847-834-1396
Mailing Address - Fax:
Practice Address - Street 1:720 N WASHINGTON ST STE 106
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3462
Practice Address - Country:US
Practice Address - Phone:630-420-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190325641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice