GAMAL S NAGUIB


Address: 302 E Saint Charles Rd, Villa Park, IL 60181-2420
Phone: 6309364410

GAMAL S NAGUIB (NPI# 1124027990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124027990
Entity Type Individual
Full Name GAMAL S NAGUIB
Credential DMD
Practice Address 302 E Saint Charles Rd
Villa Park
IL 60181-2420
Mailing Address 8135 N Milwaukee Ave
Niles
IL 60714-2828
Practice Telephone 6309364410
Practice Fax Number 6305639174
Mailing Telephone (847) 967-8098
Mailing Fax Number 8479678594
Enumeration Date 2005-07-14
Last Update Date 2017-05-18
NPI Deactivation Date 03/17/2006
NPI Reactivation Date 2006-03-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 019014756 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 019014756 05
IL BLUE SHIELD OF ILLINOIS 33060 01

Office Location

Street Address 302 E SAINT CHARLES RD
City VILLA PARK
State IL
Zip Code 60181-2420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962449850 Gates Dental Care PC Oral & Maxillofacial Surgery 302 E Saint Charles Rd, Villa Park, IL 60181-2420 2006-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820812 Molly Ahitow Pharmacist 900 Il-83, Villa Park, IL 60181 2020-10-30
1881200343 Podiatric Management Systems LLC Podiatrist 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 2020-09-21
1093320855 Rci (wrs), LLC. Clinic/Center 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 2020-09-09
1720600992 Mariam Ali Pharmacist 900 S. Rt 83, Villa Park, IL 60181 2020-05-11
1255970067 Lifecare Pharmacy Plus LLC Pharmacy 1634 Ardmore Ave, Villa Park, IL 60181 2019-12-26
1497229215 For Eyes Optical of Pa Optometrist 17 W 412-414 22nd St, Ste M&n, Oakbrook Terrace, IL 60181 2019-01-15
1114499928 Next Step Physiotherapy LLC Clinic/Center 1 Parkview Plaza, Oakbrook Terrace, IL 60181 2018-12-19
1912482654 Avertrail Dialysis LLC Clinic/Center 196 W. North Avenue, Villa Park, IL 60181 2018-09-28
1922588581 Neeliyara Inc Psychologist 1s045 Spring Road, Unit 1g, Oakbrook Terrace, IL 60181 2018-08-14
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962449850 Gates Dental Care PC Oral & Maxillofacial Surgery 302 E Saint Charles Rd, Villa Park, IL 60181-2420 2006-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760007678 Mandalai Oral and Maxillofacial Surgery PC Oral & Maxillofacial Surgery 720 S. Brom Drive Suite 103, Naperville, IL 60540 2020-06-16
1821652736 Oral and Maxilloficial Head and Neck Associates LLC Oral & Maxillofacial Surgery 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 2019-04-25
1801000443 Center for Oral and Maxillofacial Surgery, P.C. Oral & Maxillofacial Surgery 10200 W Main St, Signal Hill Medical Bldg, Belleville, IL 62223-1408 2007-05-10
1396899878 Bradley W Roberts Dmd PC Oral & Maxillofacial Surgery 4 Professional Drive, Alton, IL 62002 2007-01-22
1922198118 Glenn A Miller Oral & Maxillofacial Surgery 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 2006-10-16
1114025574 Michael John Karakourtis Oral & Maxillofacial Surgery 720 S Brom Drive, Suite #103, Naperville, IL 60540-6595 2006-09-20
1356448344 William Joseph Powell Oral & Maxillofacial Surgery 318 S Washington St, Hinsdale, IL 60521-4433 2006-09-20
1295840304 Khaled Abughazaleh Oral & Maxillofacial Surgery 65 E Scott St Apt 9a, Chicago, IL 60610-5274 2006-08-20
1750360608 Michael R Stohle Oral & Maxillofacial Surgery 500 Davis St, Ste 509, Evanston, IL 60201 2006-01-10
1518528165 Ali Al-qudsi Oral & Maxillofacial Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2019-06-25
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City VILLA PARK
Zip Code 60181

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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