ETHAN ALI TABAIE

CHICAGO, IL
NPI1629877840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207T00000X Neurological Surgery
(Licence: CA  Y3980256)
Enumeration Date2025-03-11
Last Update Date2025-03-11
Business Address
ETHAN ALI TABAIE
420 E SUPERIOR ST
CHICAGO, IL 60611-4494
Phone number: 312-503-8194
Mailing Address
ETHAN ALI TABAIE
9700 W TARON DR
ELK GROVE, CA 95757-8145
Phone number: 916-686-7300