MEDICARE: MANAR ALSAKINI

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	019032095	IL

General Provider Information

NPI Number	:	1972155588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANAR ALSAKINI

Provider Business Mailing Address
First Line	:	7406 KEYSTONE AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-3927
Country	:	US
Telephone Number	:	773-672-9215
Fax Number	:

Provider Business Practice Location Address
First Line	:	3074 W IL ROUTE 60 OFC
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-4270
Country	:	US
Telephone Number	:	847-970-7070
Fax Number	:

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

Provider Enumeration Date	:	07/13/2019
Last Update Date	:	07/13/2019

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Directions to “ MANAR ALSAKINI ” Practice Location

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