Provider Demographics
NPI:1912680158
Name:YOSIF JABIR DDS PC
Entity Type:Organization
Organization Name:YOSIF JABIR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YOSIF
Authorized Official - Middle Name:MAHMOUD
Authorized Official - Last Name:JABIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-663-0554
Mailing Address - Street 1:1121 WARREN AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3594
Mailing Address - Country:US
Mailing Address - Phone:630-663-0554
Mailing Address - Fax:630-663-1025
Practice Address - Street 1:1121 WARREN AVE STE 130
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3594
Practice Address - Country:US
Practice Address - Phone:630-663-0554
Practice Address - Fax:630-663-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty