| Doctor Name: | NIZAR N MERHEB |
| NPI Number: | 1811028848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 11825 State Route 40 Dunlap, IL - 615258842 |
| Business Phone Number: | 3092438980 |
| Business Fax Number: | |
| Mailing Address: | 10705 N Alex Dr, PEORIA |
| State: | IL |
| Postal Code: | 616151167 |
| Phone Number: | 3098682525 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 08/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |