Provider Demographics
NPI:1750721676
Name:JABBAR, MOHAMMED SAIM (DDS)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:SAIM
Last Name:JABBAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:SAIM
Other - Middle Name:MOHAMMAD
Other - Last Name:JABBAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1533 ELLINWOOD ST
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016
Mailing Address - Country:US
Mailing Address - Phone:847-582-3352
Mailing Address - Fax:847-582-3362
Practice Address - Street 1:1533 ELLINWOOD ST
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:847-582-3352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019029422122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist