Provider Demographics
NPI:1528460383
Name:HAFEEZ, SABEEN (DMD)
Entity type:Individual
Prefix:DR
First Name:SABEEN
Middle Name:
Last Name:HAFEEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 E ALGONQUIN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4373
Mailing Address - Country:US
Mailing Address - Phone:847-640-1112
Mailing Address - Fax:847-640-1107
Practice Address - Street 1:1304 MACOM DR
Practice Address - Street 2:SUITE 4
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9300
Practice Address - Country:US
Practice Address - Phone:630-585-5005
Practice Address - Fax:630-585-5727
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-030028122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist