Search › Illinois › 152W00000X
Imad Dababneh
NPI 1073055398 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4150 Williamsburg Ct. Apt 101
Glenview, IL 60025 - Phone
- (708) 770-6005
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IL, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois