Provider Demographics
NPI:1871670463
Name:GRABINER, SHELDON A (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:A
Last Name:GRABINER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 N HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1639
Mailing Address - Country:US
Mailing Address - Phone:847-259-7855
Mailing Address - Fax:
Practice Address - Street 1:5850 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3202
Practice Address - Country:US
Practice Address - Phone:773-561-2237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019136011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice