Individual
MAHMOOD HASSAN ALI HAIDER AL GAILANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 CERMAK RD STE B, BERWYN, IL 60402-2368
(708) 956-7516
Mailing address
6301 CERMAK RD STE B, BERWYN, IL 60402-2368
(708) 956-7516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033637
IL
Other
Enumeration date
06/12/2022
Last updated
07/15/2025
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