IndividualActive
Shafeeq Bader, DDS
NPI 1114916129 · Oral & Maxillofacial Surgery (D.M.D.) · Glendale Heights, IL
Provider details
- NPI number
- 1114916129
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019025521 (IL)
Practice location
148 E Army Trail Rd
Glendale Heights, IL 60139-1647
Phone: (224) 698-1472
Fax: (224) 653-4878
Mailing address
830 Clover Ridge Ct
Itasca, IL 60143-2892
Registry dates
- Enumerated
- 2005-10-21
- Last updated
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.