Provider Demographics
NPI:1700476009
Name:NABIL SALEH MD, LTD
Entity Type:Organization
Organization Name:NABIL SALEH MD, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,NABIL SALEH MD LTD
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-450-0112
Mailing Address - Street 1:1419 W LAKE ST STE D
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-3930
Mailing Address - Country:US
Mailing Address - Phone:708-450-0112
Mailing Address - Fax:708-450-9038
Practice Address - Street 1:1419 W LAKE ST STE D
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-3930
Practice Address - Country:US
Practice Address - Phone:708-450-0112
Practice Address - Fax:708-450-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty