Individual
DR. KAIS K RABADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
(773) 754-3504
Mailing address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
(773) 754-3504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-028297
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019-028297
LICENSE
IL
Enumeration date
07/01/2010
Last updated
07/01/2010
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