Healthcare Provider Details

I. General information

NPI: 1982305900
Provider Name (Legal Business Name): ZAINAB ALABD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 06/04/2023
Certification Date: 06/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2537 W NORTH AVE
MELROSE PARK IL
60160-1121
US

IV. Provider business mailing address

150 FOREST AVE UNIT 1013
OAK PARK IL
60301-1453
US

V. Phone/Fax

Practice location:
  • Phone: 708-345-6400
  • Fax:
Mailing address:
  • Phone: 713-518-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019034256
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: