Tayseer Ahmed Ibrahim, is a 
Dentist - General Practice based in Beach Park, Illinois. Tayseer Ahmed Ibrahim is licensed to practice in Illinois (license number 01925457) and her current practice location is 
11316 W Wadsworth Rd, Beach Park, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(847) 872-5530.
NPI number for Tayseer Ahmed Ibrahim is 1336163484 and her current mailing address is Ii316 Wadsworth Road, Beach Park, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336163484.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Tayseer Ahmed Ibrahim | 
|---|
| Gender | Female | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 11316 W Wadsworth Rd, Beach Park, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1336163484
 - Provider Enumeration Date: 07/26/2006
 - Last Update Date: 01/22/2021
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Tayseer Ahmed Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1336163484 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223G0001X | Dentist - General Practice  | 01925457 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tayseer Ahmed Ibrahim is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Tayseer Ahmed Ibrahim, Ii316 Wadsworth Road, Beach Park, IL 60099-3367 Ph: (847) 872-5530 | Tayseer Ahmed Ibrahim, 11316 W Wadsworth Rd, Beach Park, IL 60099-3367 Ph: (847) 872-5530 | 
		
		 
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