Individual
AMATUL SALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 W FULLERTON AVE, CHICAGO, IL 60639-1424
(773) 622-4950
Mailing address
5301 W FULLERTON AVE, CHICAGO, IL 60639-1424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030689
IL
Other
Enumeration date
07/11/2016
Last updated
10/16/2017
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