DABAJA MEDICAL CONSULTING PLLC (NPI# 1437544350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437544350 |
| Entity Type | Organization |
| Organization Name | DABAJA MEDICAL CONSULTING PLLC |
| Practice Address |
24661 Coolidge Hwy Oak Park MI 48237-1449 |
| Practice Telephone | 2483984000 |
| Practice Fax Number | 2483984141 |
| Mailing Telephone | 2483984000 |
| Mailing Fax Number | 2483984141 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | DR. IBRAHIM H DABAJA (CEO) |
| Authorized Official Telephone | 2483984000 |
| Authorized Official Credential | PA-C , DHED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
5601004858 | MI | Ambulatory Health Care Facilities |
| Street Address |
24661 COOLIDGE HWY |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053592238 | Ibrahim Hussein Dabaja | Physician Assistant | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2007-11-16 |
| 1982203972 | Nouha Mohamad Hassan | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2020-10-20 |
| 1811524655 | Houda Abdallah | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2020-03-23 |
| 1366941247 | Peter Matty | Physician Assistant | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2018-02-06 |
| 1386185205 | Donna Saad-hamie | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2017-03-10 |
| 1770980385 | Oak Park Urgent Care Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-11-25 |
| 1174947543 | Dabaja Medical Consulting | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-02-06 |
| 1952630097 | Universal Medical Group P.C. | Internal Medicine | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1154376234 | Dacia Medical Professional Corporation | Clinic/Center | 917 S Oak Park Ave, Suite B, Oak Park, IL 60304-1950 | 2006-05-24 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1932672391 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-09 |
| 1174947543 | Dabaja Medical Consulting | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-02-06 |
| 1790115517 | Datta Sambare Md Sc | Clinic/Center | 6957 North Ave, Oak Park, IL 60302-1068 | 2013-11-14 |
| 1861750036 | D.o.c, Family Practice, S.c. | Clinic/Center | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2012-04-25 |
| 1700180171 | Oak Park Pediatrics Ltd. | Clinic/Center | 1107 Chicago Ave, Oak Park, IL 60302-1803 | 2010-12-28 |
| 1649573882 | Mary L. Kelly, D.o., S.c. | Clinic/Center | 1125 Westgate St, Oak Park, IL 60301-1007 | 2010-12-09 |
| Find all providers in OAK PARK | ||||
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| 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.