Doctor Name: | GAMAL S NAGUIB |
NPI Number: | 1124027990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | |
Business Practice Address: | 927 S Mannheim Rd Westchester, IL - 601542565 |
Business Phone Number: | 7083441717 |
Business Fax Number: | |
Mailing Address: | 8135 N Milwaukee Ave, NILES |
State: | IL |
Postal Code: | 607142828 |
Phone Number: | 8479678098 |
Fax Number: | 8479678594 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 11/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/17/2006 |
NPI Reactivation Date: | 03/24/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |