Khalifa, Sabah H

Khalifa, Sabah H is an individual health care provider with primary practice located at 1229 N Ashland Ave , Chicago IL 60622-2204. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khalifa, Sabah H can be contacted via phone (773) 252-5772.

Contact Information

Primary practice address
1229 N Ashland Ave Chicago IL 60622-2204
Phone: (773) 252-5772
Fax: (773) 278-0543
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1915779 Illinois

Profile Details

NPI number 1053301465
LBN Legal business name Khalifa, Sabah H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053301465 NPPES
Illinois MEDICAID 1002504

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