Provider Demographics
NPI:1427625383
Name:DHAHER, MARIAM
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:
Last Name:DHAHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 BROOKSIDE LN APT 1801
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5294
Mailing Address - Country:US
Mailing Address - Phone:630-440-1846
Mailing Address - Fax:
Practice Address - Street 1:2620 BROOKSIDE LN APT 1801
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5294
Practice Address - Country:US
Practice Address - Phone:630-440-1846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist