Mujahed Halabyah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033115 Issued in IL

Practice address

5821 W 87TH St
Oak Lawn, IL 60453-1295

Phone

(708) 529-3966

NPI assigned

Jun 12, 2021

Last updated

Jun 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1316515729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W ARGYLE ST APT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407850",
            "telephone_number": "312-709-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 W 87TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531295",
            "telephone_number": "708-529-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALABYAH",
        "first_name": "MUJAHED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Hager, APN
• Erin Katherine Hagerty, PSY.D.
• Jafar Haghshenas, DO
• Grace Haines-Gallagher, AU.D.
• Vassos B. Hajiharis, DDS, MD
• Laurie Ann Hall, FNP
• George S Hallenbeck, MD
• Piotr Halon, MA, DO
• Amar Hamad, MD
• Jenna Hamdan

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.