Individual
MOHAMMAD WASEEM HUSSEIN JAMALEDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2300 W ARMITAGE AVE, CHICAGO, IL 60647-4434
(773) 697-4535
Mailing address
1133 SOUTH BLVD APT 612, OAK PARK, IL 60302-3279
(716) 382-8700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019.032835
IL
Other
Enumeration date
08/03/2020
Last updated
08/13/2020
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