Gamal S Naguib
Oral & Maxillofacial Surgeon
302 E Saint Charles Rd
Villa Park
, Illinois 60181-2420
Gamal S Naguib
Oral & Maxillofacial Surgeon
302 E Saint Charles Rd
Villa Park
, Illinois 60181-2420
(847) 967-8594
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Gamal S Naguib
- 8135 N Milwaukee Ave
- Niles, IL
- Zip : 60714-2828
- Fax : (847) 967-8594
- Phone : (847) 967-8098
Second Address
- Gamal S Naguib
- 302 E Saint Charles Rd
- Villa Park, IL
- Zip : 60181-2420
- Fax : (630) 563-9174
- Phone : (630) 936-4410
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Is Gamal S Naguib a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 019014756 | IL |
National Provider Identifier
| NPI | 1124027990 |
|---|---|
| Provider Name | Gamal S Naguib |
| First Address | Niles, IL 60714-2828 |
| Second Address | Villa Park, IL 60181-2420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2005 |
| Last Update Date | 18/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 019014756 | (05) | IL |
| 33060 | BLUE SHIELD OF ILLINOIS (01) | IL |
| G25935 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.