Provider Demographics
NPI:1043506496
Name:SWEIS, JUBRAIL KAMIL (DDS)
Entity type:Individual
Prefix:DR
First Name:JUBRAIL
Middle Name:KAMIL
Last Name:SWEIS
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 1:727 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-7054
Mailing Address - Country:US
Mailing Address - Phone:815-847-9292
Mailing Address - Fax:
Practice Address - Street 1:727 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-7054
Practice Address - Country:US
Practice Address - Phone:815-847-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-028603122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist