Individual
DR. MOHAMMED ADIL ASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4434 W FULLERTON AVE, CHICAGO, IL 60639-1932
(773) 486-6500
(773) 486-6556
Mailing address
75 W. NORTH AVE SUITE 400, NORTHLAKE, IL 60164
(708) 562-5100
(708) 562-5112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027367
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019027367
IL
Other
Enumeration date
06/05/2007
Last updated
06/16/2016
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