MEDICARE: DR. ALIYAH SAIYED DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019.034247	IL

General Provider Information

NPI Number	:	1205513983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALIYAH SAIYED DMD

Provider Business Mailing Address
First Line	:	1018 VILLAGE LN
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-5604
Country	:	US
Telephone Number	:	847-778-8414
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 VILLAGE LN
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-5604
Country	:	US
Telephone Number	:	847-778-8414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	07/03/2023

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