MEDICARE: DR. DAVID A NAJEM

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	122300000X	Dentist	019023202	IL

General Provider Information

NPI Number	:	1417116765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A NAJEM

Provider Business Mailing Address
First Line	:	2056 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2056 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3910
Country	:	US
Telephone Number	:	773-472-8295
Fax Number	:

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

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	06/02/2008

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Directions to “ DR. DAVID A NAJEM ” Practice Location

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