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TAYSEER A IBRAHIM DDS PC
NPI 1043209257
Dentist - General Practice in Beach Park, IL

Active since October 19, 2005
11316 W WADSWORTH RD STE 101, BEACH PARK, IL 60099(847) 872-5530(847) 872-1683 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Jan 22, 2021, Mar 16, 2016 (3 updates tracked since 2016).

About Tayseer A Ibrahim Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYSEER A IBRAHIM DDS PC (NPI 1043209257), doing business as Grand Yeoman Park Dental Care, is a healthcare organization registered as a general practice in Beach Park, Illinois and active in the NPI registry since October 2005. The organization lists Tayseer Ahmed Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1043209257
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTAYSEER A IBRAHIM DDS PC
Location Address11316 W WADSWORTH RD STE 101Beach Park, IL 60099-3367
Mailing Address11316 W Wadsworth Rd Ste 101Beach Park, IL 60099-3367 · (847) 872-5530 · Fax (847) 872-1683
Phone(847) 872-5530
Fax(847) 872-1683
Organization SubpartNo
Authorized OfficialTayseer Ahmed IbrahimPresident · (847) 872-5530
Enumeration DateOctober 19, 2005
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1043209257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 19-025457
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11316 W WADSWORTH RD STE 101, Beach Park, IL 60099
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Other Names 1

Doing Business AsGrand Yeoman Park Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tayseer A Ibrahim Dds PC's NPI number?

The NPI number for Tayseer A Ibrahim Dds PC is 1043209257. It was assigned to this organization in the NPPES registry on October 19, 2005. The provider is doing business as Grand Yeoman Park Dental Care.

Where is Tayseer A Ibrahim Dds PC located?

Tayseer A Ibrahim Dds PC is located at 11316 W Wadsworth Rd Ste 101, Beach Park, IL 60099. The listed phone number is (847) 872-5530.

What is Tayseer A Ibrahim Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tayseer A Ibrahim Dds PC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.