Provider Demographics
NPI:1427111665
Name:SHUAIPAJ, XHELO SKENDER (DDS)
Entity type:Individual
Prefix:MR
First Name:XHELO
Middle Name:SKENDER
Last Name:SHUAIPAJ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15543 127 STREET
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-8584
Mailing Address - Country:US
Mailing Address - Phone:630-243-8300
Mailing Address - Fax:630-243-9493
Practice Address - Street 1:15543 127 STREET
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-8584
Practice Address - Country:US
Practice Address - Phone:630-243-8300
Practice Address - Fax:630-243-9493
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist