Provider Demographics
NPI:1962019042
Name:WD SURGICARE LTD
Entity Type:Organization
Organization Name:WD SURGICARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WAJDE
Authorized Official - Middle Name:
Authorized Official - Last Name:DABAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-325-5511
Mailing Address - Street 1:PO BOX 681176
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60168-1176
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 S ROSELLE RD STE 104
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2966
Practice Address - Country:US
Practice Address - Phone:847-352-5511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty