Provider Demographics
NPI:1407548985
Name:DBX MEDICAL LLC
Entity type:Organization
Organization Name:DBX MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAIHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-888-6793
Mailing Address - Street 1:799 ROOSEVELT RD BLDG 3 STE 17
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-5908
Mailing Address - Country:US
Mailing Address - Phone:773-888-6793
Mailing Address - Fax:773-888-6509
Practice Address - Street 1:799 ROOSEVELT RD BLDG 3 STE 17
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-5908
Practice Address - Country:US
Practice Address - Phone:773-888-6793
Practice Address - Fax:773-888-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty