Individual
ASIMA CHUGHTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 S DAMEN AVE, CHICAGO, IL 60609-3013
(718) 496-6930
Mailing address
809 S DAMEN AVE RM 1308, CHICAGO, IL 60612-3858
(718) 496-6930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031701
IL
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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