Provider Demographics
NPI:1346325453
Name:GABR, WALEED A (DC)
Entity Type:Individual
Prefix:DR
First Name:WALEED
Middle Name:A
Last Name:GABR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 S ROCHESTER RD
Mailing Address - Street 2:STE B
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4547
Mailing Address - Country:US
Mailing Address - Phone:947-252-2002
Mailing Address - Fax:248-575-4144
Practice Address - Street 1:319B SOUTH VETERANS PARKWAY
Practice Address - Street 2:ALSHIFA HEALTH CENTER
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440
Practice Address - Country:US
Practice Address - Phone:630-679-0276
Practice Address - Fax:630-679-0316
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor